Q:

All the following are regarded as first tier therapy of increased intracranial pressure EXCEPT

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All the following are regarded as first tier therapy of increased intracranial pressure EXCEPT


  1. intubation
  2. controlled mechanical ventilation
  3. head of bed elevation
  4. sedation and analgesia
  5. barbiturate infusion

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(E). The first tier therapy also include neuromuscular blockade, CSF drainage, and the use of osmolar agents as hypertonic saline (3%) and mannitol. 2nd tier therapy include barbiturate infusion, decompressive craniectomy, mild hypothermia hyperventilation and lumbar CSF drainage.

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