The effectiveness of simultaneous monitoring of intracranial pressure and cerebral perfusion pressure in patients with severe cranio-cerebral trauma
Keywords:cerebral ischemia, cranio-cerebral trauma, cerebral perfusion pressure, intracranial pressure, intracranial hypertension
The role of hypotension, hypoxia, intracranial hypertension and cerebral perfusion pressure (CPP) in patients with severe cranio-cerevral trauma (CCT) was observed. The importance of intracranial pressure (IP) and CPP monitoring in these patients also was discussed.
Arterial hypotension and intracranial hypertension are detrimental to the injured brain. CPP artificial elevation is important for an adequate cerebral blood flow (CBF) maintaining, although the optimal CPP for CCT treatment remains unclear. In addition, CBF evolves significantly over time after CCT, so it should be taken into consideration that CBF may vary considerably from patient to patient.
Important information for CBF optimizing is provided by IP monitoring in combination with assessment of CBF adequacy using global indicators (for example, jugular oximetry).
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