Pro-Con Debate: The Clinical (Ir)relevance of the Lower Limit of Cerebral Autoregulation for Anesthesiologists.
Anesth Analg
; 135(4): 734-743, 2022 10 01.
Article
em En
| MEDLINE
| ID: mdl-36108190
ABSTRACT
In this Pro-Con commentary article, we discuss whether the lower limit of cerebral autoregulation is clinically relevant for anesthesiologists. The central question regarding this issue is whether mean arterial blood pressure below the lower limit of autoregulation is detrimental for the brain. The Pro side argues that continuous monitoring of cerebral autoregulation has revealed an association between going below the lower limit and mortality in the critically ill patient. Conversely, the Con side argues that cerebral autoregulation is only one of various defense mechanisms of the brain that protect against cerebral hypoperfusion, and that cerebral autoregulation may be more important to protect against intracranial hypertension.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Circulação Cerebrovascular
/
Hipertensão Intracraniana
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article