Intracranial hypertension and cerebral ischemia after severe traumatic brain injury.

Roman Hlatky, Alex B. Valadka, Claudia S. Robertson

Research output: Contribution to journalReview articlepeer-review

44 Scopus citations

Abstract

Arterial hypotension and intracranial hypertension are detrimental to the injured brain. Although artificial elevation of cerebral perfusion pressure (CPP) has been advocated as a means to maintain an adequate cerebral blood flow (CBF), the optimal CPP for the treatment of severe traumatic brain injury (TBI) remains unclear. In addition, CBF evolves significantly over time after TBI, and CBF may vary considerably in patient to patient. For these reasons, a more useful approach may be to consider the optimal CPP in an individual patient at any given time, rather than having an arbitrary goal applied uniformly to all patients. Important information for optimizing CBF is provided by monitoring intracranial pressure in combination with assessment of the adequacy of CBF by using global indicators (for example, jugular oximetry), supplemented when appropriate by local data, such as brain tissue oxygen tension.

Original languageEnglish (US)
Pages (from-to)e2
JournalNeurosurgical focus
Volume14
Issue number4
DOIs
StatePublished - Apr 15 2003
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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