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Point-Counterpoint: Cerebral perfusion pressure is a high-risk concept
Sérgio Brasil1, Ronney B Panerai2, Edson Bor-Seng-Shu1
1Division of Neurosurgery, Department of Neurology, School of Medicine University of São Paulo, Brazil.
Abstract:
Cerebral perfusion pressure (CPP) is calculated as the difference between mean arterial blood pressure and mean intracranial pressure, being commonly applied in neurocritical care. This commentary discusses recent physiological advances in knowledge as well as bedside practice issues that in combination indicate considering CPP under this perspective may lead to inaccurate assumptions and potentially misleading decision making.
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