Optimal Hemodynamic Parameters for Brain-injured Patients in the Clinical Setting: A Narrative Review of the Evidence.
| Autor: | Ma K; Department of Anesthesiology and Pain Medicine, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada., Bebawy JF; Department of Anesthesiology and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of neurosurgical anesthesiology [J Neurosurg Anesthesiol] 2022 Jul 01; Vol. 34 (3), pp. 288-299. Date of Electronic Publication: 2021 Jan 12. |
| DOI: | 10.1097/ANA.0000000000000752 |
| Abstrakt: | Defining optimal hemodynamic targets for brain-injured patients is a challenging undertaking. The physiological interference observed in various intracranial pathologies can have varying effects on cerebral physiology at different time points. This narrative review provides an overview of cerebral autoregulatory physiology and common misconceptions, and examines the physiological considerations and clinical evidence for determining optimal hemodynamic parameters in acutely brain-injured patients with relevance to modern neuroanesthesia and neurocritical care practice. Competing Interests: J.F.B. is a member of the Editorial Board of the Journal of Neurosurgical Anesthesiology. The remaining author have no conflicts of interest to disclose. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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