首页   按字顺浏览 期刊浏览 卷期浏览 The Upper Limit of Cerebral Blood Flow Autoregulation in Acute Intracranial Hypertension
The Upper Limit of Cerebral Blood Flow Autoregulation in Acute Intracranial Hypertension

 

作者: John Hauerberg,   Ma Xiaodong,   Lisette Willumsen,   Daniella Pedersen,   Marianne Juhler,  

 

期刊: Journal of Neurosurgical Anesthesiology  (OVID Available online 1998)
卷期: Volume 10, issue 2  

页码: 106-112

 

ISSN:0898-4921

 

年代: 1998

 

出版商: OVID

 

关键词: Autoregulation;Cerebral blood flow;Cerebral perfusion pressure;Intracranial hypertension;Intracranial pressure.

 

数据来源: OVID

 

摘要:

The present series of experiments was performed to investigate the influence of acute intracranial hypertension on the upper limit (UL) of cerebral blood flow (CBF) autoregulation. Three groups of eight rats each—one with normal intracranial pressure (ICP) (2 mmHg), one with ICP = 30 mmHg, and one with ICP = 50 mmHg— were investigated. Intracranial hypertension was maintained by continuous infusion of lactated Ringer's solution into the cisterna magna, where the pressure was used as ICP. Cerebral perfusion pressure (CPP), calculated as mean arterial blood pressure (MABP) - ICP, was increased stepwise by continuous intravenous infusion of norepinephrine. CBF was calculated by the intracarotid133Xe method. In all three groups the corresponding CBF/CPP curve included a plateau where CBF was independent of changes in CPP, showing intact autoregulation. At normal ICP the UL was found at a CPP of 141 ± 2 mmHg, at ICP = 30 mmHg the UL was 103 ± 5 mmHg, and at ICP = 50 mmHg the UL was found at 88 ± 7 mmHg. This shift of the UL was more pronounced than the shift of the lower limit (LL) of the CBF autoregulation found previously. We conclude that intracranial hypertension is followed by both a shift toward lower CPP values and a narrowing of the autoregulated interval between the LL and the UL.

 

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