• Anesthesia and analgesia · Sep 2013

    Comparative Study

    Brief report: a comparison of clinical and research practices in measuring cerebral perfusion pressure: a literature review and practitioner survey.

    • Jennifer A Kosty, Peter D Leroux, Joshua Levine, Monisha A Kumar, Suzanne Frangos, and Eileen Maloney-Wilensky.
    • FCCM, Department of Anesthesiology and Critical Care, University of Pennsylvania, 7 Dulles Bldg., 3400 Spruce St., Philadelphia, PA 19104. kofkea@uphs.upenn.ed.
    • Anesth. Analg.. 2013 Sep 1;117(3):694-8.

    BackgroundOur objective was to determine whether there is variability in the foundational literature and across centers in how mean arterial blood pressure is measured to calculate cerebral perfusion pressure.MethodsWe reviewed foundational literature and sent an e-mail survey to members of the Neurocritical Care Society.ResultsOf 32 articles reporting cerebral perfusion pressure data, the reference point for mean arterial blood pressure was identified in 16: 10 heart and 6 midbrain. The overall survey response rate was 14.3%. Responses from 31 of 34 (91%) United Council for Neurologic Subspecialties fellowship-accredited Neurointensive Care Units indicated the reference point was most often the heart (74%), followed by the midbrain (16%). Conflicting answers were received from 10%.ConclusionsThere is substantive heterogeneity in both research reports and clinical practice in how mean arterial blood pressure is measured to determine cerebral perfusion pressure.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…