Optimal Hemodynamic Parameters for Brain-injured Patients in the Clinical Setting: A Narrative Review of the Evidence

Kan Ma*, John F. Bebawy

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Defining optimal hemodynamic targets for brain-injured patients is a challenging undertaking. The physiological interference observed in various intracranial pathologies can have varying effects on cerebral physiology at different time points. This narrative review provides an overview of cerebral autoregulatory physiology and common misconceptions, and examines the physiological considerations and clinical evidence for determining optimal hemodynamic parameters in acutely brain-injured patients with relevance to modern neuroanesthesia and neurocritical care practice.

Original languageEnglish (US)
Pages (from-to)288-299
Number of pages12
JournalJournal of Neurosurgical Anesthesiology
Volume34
Issue number3
DOIs
StatePublished - Jul 1 2022

Funding

Funded by University of Toronto Department of Anesthesiology and Pain Medicine and Northwestern University Department of Anesthesiology.

Keywords

  • acute brain injury
  • blood pressure
  • cerebrovascular circulation
  • neuroanesthesia
  • neurocritical care
  • perioperative care

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine
  • Surgery

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