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Abstract

Objective: Discuss through the literature on the management of intracranial hypertension in patients neurocríticos, as well as their possible adverse effects. Method: An integrative review of the literature, with the guiding question drawn from the search strategy peak. The selected databases were: LILACS, SciELO and BDENF, MedLine, PubMed and SCOPUS with articles published between 2008 and 2017. Initially, 148 articles were identified, of which 20 were selected for this study. Results: There are several adverse effects that may develop in the presence of intracranial hypertension or during monitoring, highlighting the hiatal hernia and cerebral edema, intracerebral hemorrhage and the development of infections resulting from catheterization, which monitors the intracranial pressure, among others. However, patients should also be monitored for effects, such as ventilator-associated pneumonia (VAP) and rupture of the skin. This makes many times the balance between maintaining brain function and prevent adverse side effects. Conclusion: There are several adverse events that may arise in patients with intracranial hypertension or even in patients requiring invasive monitoring of intracranial pressure. And nursing is a profession that can provide non-invasive care that helps to reduce intracranial hypertension, contributing to the reduction of secondary cerebral lesions.