Enhanced Visualization of Optimal Cerebral Perfusion Pressure Over Time to Support Clinical Decision Making*. Issue 10 (October 2016)

• Record Type: Journal Article
• Authors: Aries, Marcel J. H.; Wesselink, Robin; Elting, Jan Willem J.; Donnelly, Joseph; Czosnyka, Marek; Ercole, Ari; Maurits, Natasha M.; Smielewski, Peter
• Is Part Of: Critical care medicine. Volume 44:Issue 10(2016)
• Publication Date: 2016-10
• Subjects: cerebral autoregulation -- cerebral perfusion pressure management -- traumatic brain injury; Critical care medicine -- Periodicals; Soins intensifs -- Périodiques; 616.028
• DOI: 10.1097/CCM.0000000000001816
• Languages: English
• ISSNs: 0090-3493

Abstract

Abstract : Objective: Cerebrovascular reactivity can provide a continuously updated individualized target for management of cerebral perfusion pressure, termed optimal cerebral perfusion pressure. The objective of this project was to find a way of improving the optimal cerebral perfusion pressure methodology by introducing a new visualization method. Data Sources: Four severe traumatic brain injury patients with intracranial pressure monitoring. Data Extraction: Data were collected and pre-processed using ICM+ software. Data Synthesis: Sequential optimal cerebral perfusion pressure curves were used to create a color-coded maps of autoregulation - cerebral perfusion pressure relationship evolution over time. Conclusions: The visualization method addresses some of the main drawbacks of the original methodology and might bring the potential for its clinical application closer.