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Acta Neurochirurgica
Published in: Acta Neurochirurgica 11/2018

Open Access 01-11-2018 | Case Report - Brain trauma

Optimal cerebral perfusion pressure via transcranial Doppler in TBI: application of robotic technology

Authors: Frederick A. Zeiler, Marek Czosnyka, Peter Smielewski

Published in: Acta Neurochirurgica | Issue 11/2018

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Abstract

Individualized cerebral perfusion pressure (CPP) targets may be derived via assessing the minimum of the parabolic relationship between an index of cerebrovascular reactivity and CPP. This minimum is termed the optimal CPP (CPPopt), and literature suggests that the further away CPP is from CPPopt, the worse is clinical outcome in adult traumatic brain injury (TBI). Typically, CPPopt estimation is based on intracranial pressure (ICP)-derived cerebrovascular reactivity indices, given ICP is commonly measured and provides continuous long duration data streams. The goal of this study is to describe for the first time the application of robotic transcranial Doppler (TCD) and the feasibility of determining CPPopt based on TCD autoregulation indices.
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Metadata
Title
Optimal cerebral perfusion pressure via transcranial Doppler in TBI: application of robotic technology
Authors
Frederick A. Zeiler
Marek Czosnyka
Peter Smielewski
Publication date
01-11-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 11/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3687-5

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