Blood Pressure Management In Acute Cerebrovascular Brain Injury

Samarth  Singh*, Geraldine Siena L. Mariano**

Abstract

Stroke alters the cerebral autoregulation. We present a case series of three  stroke types. Intracerebal hemorrhage, ischemic infarct and SAH (subarachnoid hemorrhage) each requiring ICU care and BP blood pressure optimization to maintain CPP and MAP. The stroke types that were managed require different MAP(mean arterial pressure), CPP (cerebral perfusion pressure), systolic blood pressure (SBP) and diastolic blood pressure (DBP) to maintain adequate cerebral perfusion. Blood pressure optimization in stroke has a major role in neuroprotecetion. The write up also stipulates recommended ranges of CPP, MAP, ICP (Intracranial Pressure), SBP and DBP. Judicious administration of  intravenous antihypertensive (IAH) agents is also discussed.

Keywords: Stroke, Autoregulation, CPP, MAP, ICP, BP management, Intravenous Antihypertensives

*Fellow Interventional Neurology and Stroke. Max Superspeciality Hospital, New Delhi, India
** Incharge, Neurocritical Care Unit, St. Lukes, Manilla, Phillipines