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Cerebral Edema
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- Slide 1: Cerebral Edema
A Review and Management
PJ Papadakos MD FCCP FCCM
Professor Anesthesiology, Surgery and Neurosurgery
Director Critical Care Medicine
University of Rochester
- Slide 2:HOW DO PATIENTS PRESENT ?
• Obvious--motor vehicle accident, car vs
pedestrian, fall from height, etc
• Less obvious--sports injuries (football), delayed
deterioration (epidural)
• Hidden--shaken baby syndrome, older child
maltreatment
• Post Surgical
• Post Cardiac Arrest, Hypoxic Injury
• Electrolyte Imbalance
- Slide 3:CAVEATS IN BRAIN INJURY
• Neurologic examination - the most
important information you have
• Accurate history is often unavailable or
inaccurate
• Potential for associated injuries or illness
(cardiovascular, respiratory,
cervical spine)
- Slide 4:CEREBRAL RESUSCITATION
• Primary survey - airway, breathing, an