Pressure reactivity index: journey through the past 20 years

被引:52
作者
Czosnyka, Marek [1 ]
Czosnyka, Zofia [1 ]
Smielewski, Peter [1 ]
机构
[1] Univ Cambridge, Div Neurosurg, Dept Clin Neurosci, Brain Phys Lab,Addenbrookes Hosp, Box 167, Cambridge CB20QQ, England
基金
英国医学研究理事会;
关键词
Traumatic brain injury; Intracranial pressure; Arterial blood pressure; Optimal cerebral perfusion pressure; TRAUMATIC BRAIN-INJURY; CEREBRAL PERFUSION-PRESSURE; NEAR-INFRARED SPECTROSCOPY; BLOOD-FLOW AUTOREGULATION; CEREBROVASCULAR REACTIVITY; THRESHOLDS; MANAGEMENT;
D O I
10.1007/s00701-017-3310-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Autoregulation after traumatic brain injury can be monitored continuously using simple signal processing of intracranial pressure and arterial blood pressure. The pressure reactivity index (PRx) showed several benefits when it was applied to continuous brain monitoring. Among them, a positive and strong correlation with the outcome and possibility of calculation of 'optimal cerebral perfusion pressure' have been listed. For this methodology, prospective clinical trials are missing-few of them are planned in the near future.
引用
收藏
页码:2063 / 2065
页数:3
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