Head Elevation

Elevation of the head of the bed to an angle of 20-30° reduces ICP by optimizing cerebral venous return. However, in hypovolemic patients, head elevation may cause a decrease in the CPP. If normovolemia is maintained, elevation to 30° has been shown to decrease ICP without compromising CPP or CBF in head-injured patients.

Care should be taken to avoid obstruction of cerebral venous return by cervical collars or endotracheal tube ties, and to keep the head maintained in the neutral position.

In patients with preserved cerebral autoregulation, elevation of MAP will lead to compensatory vasoconstriction with reduction of ICP.

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Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

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