<prompt> Management of raised ICP are all except:-HypothermiaHypercapniaDecompressive craniectomyBarbiturate  <response>: Stepwise approach to treatment of Elevated Intracranial Pressure Inse ICP monitor - ventriculostomy or parenchymal device General goals: maintain ICP 20 mmHg and CPP 60 mmHg For ICP 20-25 mmHg for 5 min: - elevated head of the bed, midline head position - osmotherapy - mannitol - Sedation e.g. morphine, propofol, or midazolam; add neuromuscular paralysis, if necessary patient will require endotracheal intubation and mechanical ventilation at this point, if not before - hyperventilation - to PaCO2 30-35 mmHg - pressor therapy - phenylephrine, dopamine, or norepinephrine to maintain adequate MAP to ensure CPP 60 mmHg Consider second-tier therapies for refractory elevated ICP: High dose barbiturate therapy Pentobarb coma Aggressive hyperventilation to PaCO2 30 mmHg Hypothermia Hemicraniectomy 