Continuous cerebral autoregulation monitoring by improved cross-correlation analysis: Comparison with the cuff deflation test

Intensive Care Medicine

Volumn 33, Issue 2, 2007, Pages 246-254

  Christ, Melanie ^a   Noack, Frank ^b   Schroeder, Tobias ^c   Hagmueller, Andreas ^b   Koch, Rainer ^a   May, Sven Axel ^d   Morgenstern, Ute ^b   Ragaller, Maximilian ^a   Steinmeier, Ralf ^d  

^a UNIVERSITY HOSPITAL CARL GUSTAV CARUS   (Germany)

^b DRESDEN UNIVERSITY OF TECHNOLOGY   (Germany)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

^d KLINIKUM CHEMNITZ   (Germany)

Author keywords

Cerebral autoregulation; Continuous neuromonitoring; Cross correlation; Head injury; Subarachnoid hemorrhage; Transcranial Doppler

Indexed keywords

ADULT; AGED; ARTICLE; AUTOREGULATION; BLOOD FLOW VELOCITY; BLOOD PRESSURE MONITORING; BRAIN BLOOD FLOW; CEREBRAL AUTOREGULATION; CLINICAL ARTICLE; CONTROLLED STUDY; CORRELATION ANALYSIS; CUFF DEFLATION TEST; DIAGNOSTIC TEST; FEMALE; HEAD INJURY; HUMAN; INTENSIVE CARE UNIT; MALE; MIDDLE CEREBRAL ARTERY; PATIENT MONITORING; PROSPECTIVE STUDY; SUBARACHNOID HEMORRHAGE; UNIVERSITY HOSPITAL;

ADOLESCENT; ADULT; AGED; BLOOD PRESSURE; BRAIN INJURIES; FEMALE; HOMEOSTASIS; HUMANS; INTENSIVE CARE UNITS; INTRACRANIAL PRESSURE; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; PROSPECTIVE STUDIES; SUBARACHNOID HEMORRHAGE;

EID: 33846879163     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-006-0451-8     Document Type: Article

References (40)

1. Paulson OB, Strandgaard S, Edvinsson L (1990) Cerebral autoregulation. Cerebrovasc Brain Metab Rev 2:161-192
2. Hlatky R, Furuya Y, Valadka AB, Gonzalez J, Chacko A, Mizutani Y, Contant CF, Robertson CS (2002) Dynamic autoregulatory response after severe head injury. J Neurosurg 97:1054-1061
3. Lang EW, Diehl RR, Mehdorn HM (2001) Cerebral autoregulation testing after aneurysmal subarachnoid hemorrhage: the phase relationship between arterial blood pressure and cerebral blood flow velocity. Crit Care Med 29:158-163
4. Robertson CS (2001) Management of cerebral perfusion pressure after traumatic brain injury. Anesthesiology 95:1513-1517
5. Steiner LA, Czosnyka M, Piechnik SK, Smielewski P, Chatfield D, Menon DK, Pickard JD (2002) Continuous monitoring of cerebrovascular pressure reactivity allows determination of optimal cerebral perfusion pressure in patients with traumatic brain injury. Crit Care Med 30:733-738
6. Thees C, Scheufler KM, Nadstawek J, Zentner J, Lehnert A, Hoeft A (2003) Monitoring of cerebral perfusion pressure during intracranial hypertension: a sufficient parameter of adequate cerebral perfusion and oxygenation? Intensive Care Med 29:386-390
7. Newell DW, Aaslid R, Lam A, Mayberg TS, Winn HR (1994) Comparison of flow and velocity during dynamic autoregulation testing in humans. Stroke 25:793-797
8. Kirkham FJ, Padayachee TS, Parsons S, Seargeant LS, House FR, Gosling RG (1986) Transcranial measurement of blood velocities in the basal cerebral arteries using pulsed Doppler ultrasound: velocity as an index of flow. Ultrasound Med Biol 12:15-21
9. Tiecks FP, Lam AM, Aaslid R, Newell DW (1995) Comparison of static and dynamic cerebral autoregulation measurements. Stroke 26:1014-1019
10. Aaslid R, Lindegaard KF, Sorteberg W, Nornes H (1989) Cerebral autoregulation dynamics in humans. Stroke 20:45-52
11. Giller CA (1991) A bedside test for cerebral autoregulation using transcranial Doppler ultrasound. Acta Neurochir (Wien) 108:7-14
12. Tiecks FP, Douville C, Byrd S, Lam AM, Newell DW (1996) Evaluation of impaired cerebral autoregulation by the Valsalva maneuver. Stroke 27:1177-1182
13. Reinhard M, Muller T, Guschlbauer B, Timmer J, Hetzel A (2003) Transfer function analysis for clinical evaluation of dynamic cerebral autoregulation-a comparison between spontaneous and respiratory-induced oscillations. Physiol Meas 24:27-43
14. Zhang R, Zuckerman JH, Giller CA, Levine BD (1998) Transfer function analysis of dynamic cerebral autoregulation in humans. Am J Physiol 274:H233-H241
15. Giller CA (1990) The frequencydependent behavior of cerebral autoregulation. Neurosurgery 27:362-368
16. Diehl RR, Linden D, Lucke D, Berlit P (1998) Spontaneous blood pressure oscillations and cerebral autoregulation. Clin Auton Res 8:7-12
17. Steinmeier R, Bauhuf C, Hubner U, Bauer RD, Fahlbusch R, Laumer R, Bondar I (1996) Slow rhythmic oscillations of blood pressure, intracranial pressure, microcirculation, and cerebral oxygenation. Dynamic interrelation and time course in humans. Stroke 27:2236-2243
18. Steinmeier R, Hofmann RP, Bauhuf C, Hubner U, Fahlbusch R (2002) Continuous cerebral autoregulation monitoring by cross-correlation analysis. J Neurotrauma 19:1127-1138
19. Christ M, Hagmueller A, Morgenstern U, Theilen H, Ragaller M, Steinmeier R (2004) Continuous and non-invasive assessment of cerebral autoregulation by cross-correlation analysis. Intensive Care Med S169:651
20. Mascia L, Fedorko L, terBrugge K, Filippini C, Pizzio M, Ranieri VM, Wallace MC (2003) The accuracy of transcranial Doppler to detect vasospasm in patients with aneurysmal subarachnoid hemorrhage. Intensive Care Med 29:1088-1094
21. Mahony PJ, Panerai RB, Deverson ST, Hayes PD, Evans DH (2000) Assessment of the thigh cuff technique for measurement of dynamic cerebral autoregulation. Stroke 31:476-480
22. Lang EW, Diehl RR, Timmermann L, Baron R, Deuschl G, Mehdorn HM, Zunker P (1999) Spontaneous oscillations of arterial blood pressure, cerebral and peripheral blood flow in healthy and comatose subjects. Neurol Res 21:665-669
23. Kuusela TA, Kaila TJ, Kahonen M (2003) Fine structure of the lowfrequency spectra of heart rate and blood pressure. BMC Physiol 3:11
24. Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159-174
25. Panerai RB, Carey BJ, Potter JF (2003) Short-term variability of cerebral blood flow velocity responses to arterial blood pressure transients. Ultrasound Med Biol 29:31-38
26. Piechnik SK, Yang X, Czosnyka M, Smielewski P, Fletcher SH, Jones AL, Pickard JD (1999) The continuous assessment of cerebrovascular reactivity: a validation of the method in healthy volunteers. Anesth Analg 89:944-949
27. Kuo TB, Chern CM, Sheng WY, Wong WJ, Hu HH (1998) Frequency domain analysis of cerebral blood flow velocity and its correlation with arterial blood pressure. J Cereb Blood Flow Metab 18:311-318
28. Panerai RB, Dawson SL, Eames PJ, Potter JF (2001) Cerebral blood flow velocity response to induced and spontaneous sudden changes in arterial blood pressure. Am J Physiol Heart Circ Physiol 280:H2162-H2174
29. Kuo TB, Chern CM, Yang CC, Hsu HY, Wong WJ, Sheng WY, Hu HH (2003) Mechanisms underlying phase lag between systemic arterial blood pressure and cerebral blood flow velocity. Cerebrovasc Dis 16:402-409
30. Aaslid R, Newell DW, Stooss R, Sorteberg W, Lindegaard KF (1991) Assessment of cerebral autoregulation dynamics from simultaneous arterial and venous transcranial Doppler recordings in humans. Stroke 22:1148-1154
31. Lang EW, Lagopoulos J, Griffith J, Yip K, Mudaliar Y, Mehdorn HM, Dorsch NW (2003) Noninvasive cerebrovascular autoregulation assessment in traumatic brain injury: validation and utility. J Neurotrauma 20:69-75
32. Czosnyka M, Smielewski P, Piechnik S, Steiner LA, Pickard JD (2001) Cerebral autoregulation following head injury. J Neurosurg 95:756-763
33. Enevoldsen EM, Jensen FT (1977) "False" autoregulation of cerebral blood flow in patients with acute severe head injury. Acta Neurol Scand Suppl 64:514-515
34. Sahuquillo J, Amoros S, Santos A, Poca MA, Valenzuela H, Baguena M, Garnacho A (2000) False autoregulation (pseudoautoregulation) in patients with severe head injury. Its importance in CPP management. Acta Neurochir (Wien) Suppl 76:485-490
35. Serrador JM, Picot PA, Rutt BK, Shoemaker JK, Bondar RL (2000) MRI measures of middle cerebral artery diameter in conscious humans during simulated orthostasis. Stroke 31:1672-1678
36. Myburgh JA, Upton RN, Grant C, Martinez A (2003) The effect of infusions of adrenaline, noradrenaline and dopamine on cerebral autoregulation under propofol anaesthesia in an ovine model. Intensive Care Med 29:817-824
37. Johnston AJ, Steiner LA, O'Connell M, Chatfield DA, Gupta AK, Menon DK (2004) Pharmacokinetics and pharmacodynamics of dopamine and norepinephrine in critically ill head-injured patients. Intensive Care Med 30:45-50
38. Eames PJ, Panerai RB, Potter JF (2004) Influence of controlled breathing patterns on cerebrovascular autoregulation and cardiac baroreceptor sensitivity. Clin Sci (Lond) 106:155-162
39. Zwiener U, Walter B, Kratzsch B, Bauer R (2003) Marked reduction of brainstem blood flow in artificially ventilated newborn piglets during normoxia and normocapnic hypoxia. Intensive Care Med 29:2277-2284
40. Mascia L, Grasso S, Fiore T, Bruno F, Berardino M, Ducati A (2005) Cerebro-pulmonary interactions during the application of low levels of positive end-expiratory pressure. Intensive Care Med 31:373-379