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Evidence‐based approaches

Rationale

Positioning and moving patients with uncontrollable or raised ICP should be limited to essential tasks only, as such interventions can lead to further increases in ICP. Monitoring the effects on ICP of positioning and interventions, including how quickly any increase in ICP returns to baseline, is essential. If it takes a significant amount of time for ICP to return to baseline, then the medical team should be informed for further management.

Indications

Patients with raised ICP should be moved only for essential care, including:
  • pressure area relief
  • respiratory management
  • cleaning and hygiene.

Contraindications

When handling patients with ICP:
  • Consider the risks versus the benefits to the patient before moving and handling.
  • Keep in mind that persistently raised ICP that does not settle quickly could be detrimental to the patient.
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