Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Management of cerebral perfusion pressure
Autore:
Hlatky, R; Furuya, Y; Valadka, AB; Robertson, CS;
Indirizzi:
Baylor Coll Med, Dept Neurosurg, Houston, TX 77030 USA Baylor Coll Med Houston TX USA 77030 ept Neurosurg, Houston, TX 77030 USA
Titolo Testata:
SEMINARS IN RESPIRATORY AND CRITICAL CARE MEDICINE
fascicolo: 1, volume: 22, anno: 2001,
pagine: 3 - 12
SICI:
1069-3424(2001)22:1<3:MOCPP>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE HEAD-INJURY; TRAUMATIC BRAIN INJURY; ARTERIOVENOUS OXYGEN DIFFERENCE; INTRA-CRANICAL PRESSURE; BLOOD-FLOW VELOCITY; INTRACRANIAL-PRESSURE; COMATOSE PATIENTS; MODERATE HYPERVENTILATION; AGGRESSIVE TREATMENT; ARTERIAL-PRESSURE;
Keywords:
brain injury; cerebral perfusion pressure; cerebral blood flow;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
76
Recensione:
Indirizzi per estratti:
Indirizzo: Hlatky, R Baylor Coll Med, Dept Neurosurg, 6560 Fannin St,Suite 944, Houston, TX 77030 USA Baylor Coll Med 6560 Fannin St,Suite 944 Houston TX USA 77030 SA
Citazione:
R. Hlatky et al., "Management of cerebral perfusion pressure", SEM RESP CR, 22(1), 2001, pp. 3-12

Abstract

The management of cerebral perfusion pressure is among the most controversial treatment issues. Cerebral perfusion pressure (CPP) is normally expressed as the difference between mean arterial blood pressure and intracranial pressure and has two important physiological roles in the patient with severe head injury. First, CPP represents the pressure gradient acting across the cerebrovascular bed and hence is an important factor in the regulation of cerebral blood flow. Second, CPP contributes to the hydrostatic pressure within the intracerebral vessels, and therefore is one of the factors that determines edema formation in the injured brain. The border between adequate and inadequate CPP should be assessed individually and continuously, as it may fluctuate in time. The treatment plan that includes rapid identification of intracranial hemorrhage, rapid evacuation of extraaxial blood, treatment of intracranial hypertension, and promotion of cerebral and systemic perfusion is likely to provide the best outcome for all patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 15:32:35