A 69-year-old male was admitted for moderate TBI, who initially presented with significant IHT.
She received treatment with analgesia, relaxation, osmotic, barbit and amines; she maintained ICP less than or equal to 20mmHg and CPP greater than or equal to 65mmHg.
Subsequently, she presents severe AKI secondary to VAP.
The tenth day is placed in PD.
ICP rises up to 25mmHg, but responds early to mannitol.
Fixation improved and maintained in PP for 6h.
After repositioning in SD, the gasometric improvement obtained was maintained.
The patient has a torpid evolution, complicated with multiple nosocomial infections.
Finally, he recovers a normal level of consciousness.
The patient was treated conservatively and discharged home with normal neurological examination.
