Published in:
Open Access
01-12-2019 | Central Nervous System Trauma | Editorial
How I monitor cerebral autoregulation
Authors:
Samuel P. Klein, Bart Depreitere, Geert Meyfroidt
Published in:
Critical Care
|
Issue 1/2019
Login to get access
Excerpt
Cerebrovascular pressure autoregulation (CAR) protects the brain against changes in cerebral perfusion pressure (CPP) by adjusting the vascular resistance, to ensure a steady cerebral blood flow (CBF). The role of impaired CAR is well-described in the pathophysiology of traumatic brain injury (TBI), stroke, subarachnoid hemorrhage (SAH), and prematurity-related intracranial hemorrhage [
1], but also in sepsis-associated brain dysfunction [
2]. A clinical tool to assess CAR in real time may improve our understanding of the role of disturbed CBF in brain injury and systemic insults and open the door for personalized arterial blood pressure (ABP) manipulation to remain within the limits of active CAR [
3]. …