Regulation of cerebral blood flow in humans: physiology and clinical implications of autoregulation

JAHR Claassen, DHJ Thijssen… - Physiological …, 2021 - journals.physiology.org
Brain function critically depends on a close matching between metabolic demands,
appropriate delivery of oxygen and nutrients, and removal of cellular waste. This matching …

Management of delayed cerebral ischemia after subarachnoid hemorrhage

CL Francoeur, SA Mayer - Critical care, 2016 - Springer
For patients who survive the initial bleeding event of a ruptured brain aneurysm, delayed
cerebral ischemia (DCI) is one of the most important causes of mortality and poor …

Clinical relevance of cerebral autoregulation following subarachnoid haemorrhage

KP Budohoski, M Czosnyka, PJ Kirkpatrick… - Nature Reviews …, 2013 - nature.com
Subarachnoid haemorrhage (SAH) is a form of stroke that is associated with substantial
morbidity, often as a result of cerebral ischaemia that occurs in the following days. These …

Impaired cerebral autoregulation: measurement and application to stroke

LI Xiong, X Liu, TY Shang, P Smielewski… - Journal of Neurology …, 2017 - jnnp.bmj.com
Cerebral autoregulation (CA) is a protective mechanism that maintains cerebral blood flow
at a relatively constant level despite fluctuations of cerebral perfusion pressure or arterial …

Monitoring of cerebral autoregulation

M Czosnyka, C Miller - Neurocritical care, 2014 - Springer
Pressure autoregulation is an important hemodynamic mechanism that protects the brain
against inappropriate fluctuations in cerebral blood flow in the face of changing cerebral …

Optimal cerebral perfusion pressure management at bedside: a single-center pilot study

C Dias, MJ Silva, E Pereira, E Monteiro, I Maia… - Neurocritical care, 2015 - Springer
Background Guidelines recommend cerebral perfusion pressure (CPP) values of 50–70
mmHg and intracranial pressure lower than 20 mmHg for the management of acute …

Blood pressure and the brain: how low can you go?

JC Drummond - Anesthesia & Analgesia, 2019 - journals.lww.com
There are occasionally intraoperative circumstances in which reduction of mean arterial
pressure (MAP) to levels well below those that occur in nonanesthetized adults is necessary …

Temporal dynamics of ICP, CPP, PRx, and CPPopt in high-grade aneurysmal subarachnoid hemorrhage and the relation to clinical outcome

T Svedung Wettervik, T Howells, A Lewén… - Neurocritical care, 2021 - Springer
Background High intracranial pressure (ICP) and low cerebral perfusion pressure (CPP)
may induce secondary brain injury following aneurysmal subarachnoid hemorrhage (aSAH) …

Clinical significance of impaired cerebrovascular autoregulation after severe aneurysmal subarachnoid hemorrhage

M Jaeger, M Soehle, MU Schuhmann, J Meixensberger - Stroke, 2012 - Am Heart Assoc
Background and Purpose—The purpose of this study was to investigate the relationship
between cerebrovascular autoregulation and outcome after aneurysmal subarachnoid …

Intracranial pressure monitoring, cerebral perfusion pressure estimation, and ICP/CPP-guided therapy: a standard of care or optional extra after brain injury?

MA Kirkman, M Smith - British journal of anaesthesia, 2014 - academic.oup.com
Measurement of intracranial pressure (ICP) and mean arterial pressure (MAP) is used to
derive cerebral perfusion pressure (CPP) and to guide targeted therapy of acute brain injury …