<prompt> All of the following lower intracranial pressure except-MannitolFurosemideCoicosteroidsHyperventilation  <response>: Following steps are used to lower intracranial pressure Ventrititlostomy to drain CSF Elevate head end of bed Osmotherapy -- mannitol, hypeonic saline Glucocoiciods dexamethasone for vasogenic edema from tumor, abscess avoid glucocoicoids in head trauma, ischemic and hemorrhagic stroke Sedation morphine, propofol, or midazolam add neuromuscular paralysis if necessary Hyperventilation -to PaCO2 30-35 mmHg Pressor therapy--phenylephtine, dopamine, or norepinephrine to maintain adequate MAP to ensure CPP 60 mmHg, Second-tier therapies for refractory elevated ICP High dose barbiturate therapy pentobarb coma Aggressive hyperventilation to Pam 30 mmHg Hypothermia Hemicraniectomy Ref : Harrison 17e p1722 