Guideline decision tool · Neurology
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Cerebral Perfusion Pressure (CPP) & ICP Targets — free guideline decision tool

Cerebral perfusion pressure (CPP = MAP − ICP) and intracranial-pressure targets in severe TBI and neurocritical care.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Systolic BP SBP130 mmHg
Diastolic BP DBP70 mmHg
Intracranial pressure ICP18 mmHg

CPP72 mmHg

  • CalculationMAP = 90 mmHg (DBP + (SBP − DBP)/3); CPP = MAP − ICP = 90 − 18 = 72 mmHg
  • CPP evaluationNormal-high (> 70; if maintained by vasopressors, watch for ARDS)
  • ICP evaluationICP 18 (≤ 20 broadly acceptable)

Common questions

What is Cerebral Perfusion Pressure (CPP) & ICP Targets?

Cerebral perfusion pressure (CPP = MAP − ICP) and intracranial-pressure targets in severe TBI and neurocritical care.

How is Cerebral Perfusion Pressure (CPP) & ICP Targets calculated? What is the core formula?

MAP = DBP + (SBP − DBP)/3; CPP = MAP − ICP; severe-TBI target CPP 60–70 mmHg; ICP > 22 mmHg triggers ICP-lowering therapy.

When is Cerebral Perfusion Pressure (CPP) & ICP Targets used?

Use to compute CPP from blood pressure and ICP and to check it against Brain Trauma Foundation targets.

What are the key clinical points for Cerebral Perfusion Pressure (CPP) & ICP Targets?

Maintaining CPP > 70 with vasopressors raises ARDS and volume-overload risk — CPP is an optimization target, not 'higher is better' (original synthesis · not guideline verbatim). Zero the arterial transducer at the tragus (≈ foramen of Monro) so MAP/CPP reflect cerebral, not cardiac, level. When autoregulation is impaired, cerebral blood flow follows CPP passively, making both hypo- and hypertension hazardous.

What are the limits and cautions when using Cerebral Perfusion Pressure (CPP) & ICP Targets?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

How is Cerebral Perfusion Pressure (CPP) & ICP Targets calculated in practice? Can you show a worked example?

Inputs: Systolic BP SBP 130 mmHg, Diastolic BP DBP 70 mmHg, Intracranial pressure ICP 18 mmHg → Result: CPP 72 mmHg(Calculation: MAP = 90 mmHg (DBP + (SBP − DBP)/3); CPP = MAP − ICP = 90 − 18 = 72 mmHg, CPP evaluation: Normal-high (> 70; if maintained by vasopressors, watch for ARDS), ICP evaluation: ICP 18 (≤ 20 broadly acceptable))

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Cerebral perfusion pressure (CPP = MAP − ICP) and intracranial-pressure targets in severe TBI and neurocritical care.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.