What is your approach to management of patients with cerebral edema in the setting of hypoxic-ischemic injury?

Depends on the clinical status of the patient. Obviously, if the neurological exam is modestly good, i.e., purposeful movement or better, then follow the exam for signs of worsening edema. If the exam is not so good (flexion or less), we tend to use continuous EEG and serial imaging to monitor.

As f...

This depends on multiple factors, including clinical exam, extent of edema seen on imaging, and time from ictus. If the patient has a reasonable clinical exam that can be followed, they can be monitored. If the imaging reveals early diffuse cerebral edema with a poor exam but not complete loss of br...