Cerebral perfusion pressure and brain ischaemia: can one size fit all?

Research output: Contribution to journalArticlepeer-review

Abstract

Current recommendations regarding the management of patients after traumatic brain injury include reduction in brain tissue pressure (i.e. intracranial pressure) and maintenance of an adequate arterial pressure; these measures combined should result in cerebral perfusion pressure sufficient to achieve adequate oxygen delivery. After almost 20 years of observational studies comparing cerebral perfusion pressure and indices of cerebral oxygenation, it is apparent that there is no single value for cerebral perfusion pressure that, if achieved, will provide adequate cerebral oxygen delivery in all patients. Traumatic brain injury remains a common problem, and this should encourage researchers and clinicians to design better and adequately powered trials of monitors and associated interventions.
Original languageEnglish
Pages (from-to)638-9
Number of pages2
JournalCritical Care
Volume9
Issue number6
DOIs
Publication statusPublished - 2005

Keywords

  • Blood Pressure
  • Craniocerebral Trauma
  • Critical Care
  • Critical Illness
  • Humans
  • Hypoxia, Brain
  • Reference Values
  • Risk Factors
  • Telencephalon

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