Positive end-expiratory pressure oscillation facilitates brain vascular reactivity monitoring

Journal of Applied Physiology

Volumn 113, Issue 9, 2012, Pages 1362-1368

  Brady, Ken M ^a   Easley, R Blaine ^a   Kibler, Kathleen ^a   Kaczka, David W ^b   Andropoulos, Dean ^a   Fraser III, Charles D ^c   Smielewski, Peter ^d   Czosnyka, Marek ^d   Adams, Gerald J ^a   Rhee, Christopher J ^a   Rusin, Craig G ^a  

^a BAYLOR COLLEGE OF MEDICINE   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c UNIVERSITY OF TEXAS MEDICAL SCHOOL   (United States)

^d UNIVERSITY OF CAMBRIDGE   (United Kingdom)

Author keywords

Cerebrovascular autoregulation; Neonatal; Positive end expiratory pressure; Pressure reactivity

Indexed keywords

ANIMAL; ANIMAL MODEL; ARTERIAL PRESSURE; ARTICLE; BRAIN; BRAIN CIRCULATION; BRAIN INJURY; HOMEOSTASIS; HUMAN; INTRACRANIAL PRESSURE; NEWBORN; PATHOPHYSIOLOGY; PHYSIOLOGIC MONITORING; PHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; SWINE; VASCULARIZATION;

ANIMALS; ANIMALS, NEWBORN; ARTERIAL PRESSURE; BRAIN; BRAIN INJURIES; CEREBROVASCULAR CIRCULATION; HOMEOSTASIS; HUMANS; INTRACRANIAL PRESSURE; MODELS, ANIMAL; MONITORING, PHYSIOLOGIC; POSITIVE-PRESSURE RESPIRATION; SWINE;

EID: 84868318309     PISSN: 87507587     EISSN: 15221601     Source Type: Journal    
DOI: 10.1152/japplphysiol.00853.2012     Document Type: Article

References (19)

1. Aaslid R, Lindegaard KF, Sorteberg W, Nornes H. Cerebral autoregulation dynamics in humans. Stroke 20: 45-52, 1989.
2. Aries MJ, Czosnyka M, Budohoski KP, Steiner LA, Lavinio A, Kolias AG, Hutchinson PJ, Brady KM, Menon DK, Pickard JD, Smielewski P. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury. Crit Care Med 40: 2456-2463, 2012.
3. Brady KM, Lee JK, Kibler KK, Easley RB, Koehler RC, Shaffner DH. Continuous measurement of autoregulation by spontaneous fluctuations in cerebral perfusion pressure: comparison of 3 methods. Stroke 39: 2531-2537, 2008.
4. Brady KM, Lee JK, Kibler KK, Smielewski P, Czosnyka M, Easley RB, Koehler RC, Shaffner DH. Continuous time-domain analysis of cerebrovascular autoregulation using near-infrared spectroscopy. Stroke 38: 2818-2825, 2007.
5. Brady KM, Mytar JO, Kibler KK, Hogue CW Jr, Lee JK, Czosnyka M, Smielewski P, Easley RB. Noninvasive autoregulation monitoring with and without intracranial pressure in the naive piglet brain. Anesth Analg 111: 191-195, 2010.
6. Brady KM, Shaffner DH, Lee JK, Easley RB, Smielewski P, Czosnyka M, Jallo GI, Guerguerian AM. Continuous monitoring of cerebrovascular pressure reactivity after traumatic brain injury in children. Pediatrics 124: e1205-e1212, 2009.
7. Bratton SL, Chestnut RM, Ghajar J, McConnell Hammond FF, Harris OA, Hartl R, Manley GT, Nemecek A, Newell DW, Rosenthal G, Schouten J, Shutter L, Timmons SD, Ullman JS, Videtta W, Wilberger JE, Wright DW. Guidelines for the management of severe traumatic brain injury. IX. Cerebral perfusion thresholds. J Neurotrauma 24, Suppl 1: S59-S64, 2007.
8. Czosnyka M, Brady K, Reinhard M, Smielewski P, Steiner LA. Monitoring of cerebrovascular autoregulation: facts, myths, and missing links. Neurocrit Care 10: 373-386, 2009.
9. Czosnyka M, Smielewski P, Kirkpatrick P, Laing RJ, Menon D, Pickard JD. Continuous assessment of the cerebral vasomotor reactivity in head injury. Neurosurgery 41: 11-17, 1997.
10. Diedler J, Zweifel C, Budohoski KP, Kasprowicz M, Sorrentino E, Haubrich C, Brady KM, Czosnyka M, Pickard JD, Smielewski P. The limitations of near-infrared spectroscopy to assess cerebrovascular reactivity: the role of slow frequency oscillations. Anesth Analg 113: 849-857, 2011.
11. Diehl RR, Linden D, Lucke D, Berlit P. Phase relationship between cerebral blood flow velocity and blood pressure. A clinical test of autoregulation. Stroke 26: 1801-1804, 1995.
12. Lang EW, Diehl RR, Mehdorn HM. 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, 2001.
13. Lee JK, Kibler KK, Benni PB, Easley RB, Czosnyka M, Smielewski P, Koehler RC, Shaffner DH, Brady KM. Cerebrovascular reactivity measured by near-infrared spectroscopy. Stroke 40: 1820-1826, 2009.
14. Lewis PM, Rosenfeld JV, Diehl RR, Mehdorn HM, Lang EW. Phase shift and correlation coefficient measurement of cerebral autoregulation during deep breathing in traumatic brain injury (TBI). Acta Neurochir (Wien). 150: 139-146, 2008.
15. Pedersen TF, Paulson OB, Nielsen AH, Strandgaard S. Effect of nephrectomy and captopril on autoregulation of cerebral blood flow in rats. Am J Physiol Heart Circ Physiol 285: H1097-H1104, 2003.
16. Ragauskas A, Daubaris G, Petkus V, Ragaisis V, Ursino M. Clinical study of continuous non-invasive cerebrovascular autoregulation monitoring in neurosurgical ICU. Acta Neurochir Suppl 95: 367-370, 2005.
17. Rangel-Castilla L, Gasco J, Nauta HJ, Okonkwo DO, Robertson CS. Cerebral pressure autoregulation in traumatic brain injury. Neurosurg Focus 25: E7, 2008.
18. Steiner LA, Czosnyka M, Piechnik SK, Smielewski P, Chatfield D, Menon DK, Pickard JD. 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, 2002.
19. Steinmeier R, Bauhuf C, Hubner U, Bauer RD, Fahlbusch R, Laumer R, Bondar I. Slow rhythmic oscillations of blood pressure, intracranial pressure, microcirculation, and cerebral oxygenation. Dynamic interrelation and time course in humans. Stroke 27: 2236-2243, 1996.