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点对点:大脑输液压是一种高风险的概念

Sérgio Brasil¹, Ronney B Panerai², Edson Bor-Seng-Shu¹

¹Division of Neurosurgery, Department of Neurology, School of Medicine University of São Paulo, Brazil.

Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism

|August 26, 2023

概括

在神经临床护理中,脑输液压 (CPP) 监测可能会导致不准确的假设. 最近的生理学见解和临床实践问题表明需要重新考虑CPP.

科学领域:

神经临界护理是指神经临界护理.
脑血管生理学脑血管生理学

背景情况:

大脑输液压 (CPP) 是神经临床护理中的一个关键指标.
它是用平均动脉血压减去内压力来计算的.

研究的目的:

讨论最近影响CPP解释的生理学进展.
突出挑战CPP实用性的病床实践问题.

主要方法:

关于生理学进步的文学评论.
分析神经临床护理中的临床实践挑战.

主要成果:

目前对大脑自我调节的理解有了很大的进步.
CPP的床边应用可能不会准确地反映组织输液.

结论:

仅仅依靠CPP可能会导致有缺陷的临床决策.
需要对CPP在神经临床护理中的作用进行批判性重新评估.

关键词:

大脑的自我调节.大脑血液动力学大脑 perfusion 压力大脑 perfusion 压力大脑内压力内压力多式联网监控多式联网监控

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