Intraoperative monitoring of cerebrovascular autoregulation in infants and toddlers receiving major elective surgery to determine the individually optimal blood pressure – a pilot study

Autor: Maximilian Iller, Felix Neunhoeffer, Lukas Heimann, Julian Zipfel, Martin U. Schuhmann, Simon Scherer, Markus Dietzel, Joerg Fuchs, Michael Hofbeck, Stefanie Hieber, Frank Fideler
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Pediatrics, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2296-2360
DOI: 10.3389/fped.2023.1110453
Popis: IntroductionInducing general anesthesia (GA) in children can considerably affect blood pressure, and the rate of severe critical events owing to this remains high. Cerebrovascular autoregulation (CAR) protects the brain against blood-flow-related injury. Impaired CAR may contribute to the risk of cerebral hypoxic–ischemic or hyperemic injury. However, blood pressure limits of autoregulation (LAR) in infants and children are unclear.Materials and methodsIn this pilot study CAR was monitored prospectively in 20 patients aged
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