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Continuous Assessment of the Cerebral Vasomotor Reactivity in Head Injury

Neurosurgery · 1997 · Vol. 41(1) · pp. 11–19

Marek Czosnyka✉(Addenbrooke's Hospital)Peter Smielewski(Addenbrooke's Hospital)Peter J. Kirkpatrick(Addenbrooke's Hospital)Rodney J. Laing(Addenbrooke's Hospital)David K. Menon(Addenbrooke's Hospital)John D. Pickard(Addenbrooke's Hospital)

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Abstract

Computer analysis of slow waves in ABP and ICP is able to provide a continuous index of cerebrovascular reactivity to changes in arterial pressure, which is of prognostic significance.

Traumatic Brain Injury and Neurovascular Disturbances Optical Imaging and Spectroscopy Techniques Heart Rate Variability and Autonomic ControlMedicineCerebral autoregulationIntracranial pressureCerebral perfusion pressureBlood pressureGlasgow Coma ScaleAnesthesiaMiddle cerebral arteryCerebral blood flowVasomotor

MeSH terms

AdolescentAdultAgedBlood Flow VelocityBlood PressureBrainBrain Damage, ChronicBrain InjuriesCarbon DioxideChildFemaleHomeostasisHumansIntracranial PressureMale

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Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury