Managemente and nursing care in patients with suspected intracraneal hypertension in emergencies

Authors

  • Marta González Sanz Enfermera en el servicio de endoscopias del Hospital La Princesa (Madrid). Experto universitario de enfermería en urgencias extrahospitalarias.

DOI:

https://doi.org/10.60108/ce.218

Keywords:

intracraneal hypertension; nursing care; monitoring; emergencies

Abstract

Introduction. The intracranial hypertension is a patology that shows a high mortality, although it depends of the etiology. The work must be urgent in the recognition of the patology and in the evaluation of the eficacy of the terapeutic methods that we can apply.

PICO. The question PICO is formed by pacients (P) that are patients with suspects of intracranial hypertension. The intervention (I) are the cuidados of enfermery, that it includes the monitorization of the intracranial pressure. The comparation (C) doesn’t exist in the question of investigation. The results or study variables (O) are the quick efficient performance to control parameters of high intracranial pressure in Urgencies and emergencies, with the goal to reduce by pharmacological measures and not pharmacological.

Methodology. Strategy of search: The metodologic design is a narrative review. It has done bibliografic searchs with the goal to achieve the highest available evidence about the matter and reduce biases, in diferrent data bases of Health Science and repositories of PubMed, Dialnet, and Scielo between 2012 and 2022.

Result and conclusion. As a conclusion, we will do a previous initial valoration. In case to continue suspecting of hipertensión intracraneal, we will begin with the monitorización of the intracranial pressure. First, we will do not invasive monitorization and after, we will do invasive monitorization. During the process of evaluation we must do a focus of staircase individualized through general prophylactic measures, integration of pacient and the family during all the process.

References

Garzo Saria M, PhD, RN, FAAN, Kesari S, MD, et al. Increased Intracranial Pressure: The Use of an Individualized Ladder Approach. Seminars in Oncology Nursing. 2021; 37.

Rodríguez-Boto G, Rivero-Garvia R, Gutiérrez-González R, Márquez-Rivas J. Conceptos básicos sobre la fisiopatología cerebral y la monitorización de la presión intracraneal. Neurología. 2015; 30(1):16-22

Schizodimos T, Vasiliki Soulountsi V, Iasonidou C, Kapravelos N. An overview of management of intracranial hypertension in the intensive care unit. Journal of Anesthesia. 2020; 34: 741-757.

Marques de Almeida C, Fernandes Pollo C, Meneguin S. Intervenções de Enfermagem para pacientes com hipertensão intracraniana: revisão integrativa da literatura. Aquichan, 2019; 19(4).

Published

2023-07-27

How to Cite

González Sanz, M. (2023). Managemente and nursing care in patients with suspected intracraneal hypertension in emergencies. Conocimiento Enfermero, 6(21), 64–72. https://doi.org/10.60108/ce.218

Issue

Section

Trabajos fin de grado y/o postgrado de Enfermería