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Management of Cerebral Edema in Brain Tumors
1. A D E W I J A Y A , M D β N O V E M B E R 2 0 2 1
Management of Cerebral Edema
in Brain Tumors
2.
3.
4. Introduction
ο Vasogenic edema
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.
Kaal EC, Vecht CJ. The management of brain edema in brain tumors. Current opinion in oncology. 2004 Nov 1;16(6):593-600.
5. Brain CT Scan Brain MRI
Neuroimaging
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.
7. General Measures
ο Positioning
- 30 % head elevation
ο Oxygenation and ventilation
ο Hemodynamics
ο Temperature
ο Anticonvulsants
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.
8. Medical Interventions
ο Osmotherapy (mannitol, hypertonic saline)
- mannitol only for short time
ο Steroids: dexamethason
ο Future therapies
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.
9. Surgical Interventions
ο Definitive treatment
Esquenazi Y, Lo VP, Lee K. Critical care management of cerebral edema in brain tumors. Journal of intensive care medicine. 2017 Jan;32(1):15-24.