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Intraoperative blood pressure and cerebral perfusion: strategies to clarify hemodynamic goals
Author(s) -
Williams Monica,
Lee Jennifer K.
Publication year - 2014
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.12401
Subject(s) - autoregulation , medicine , cerebral autoregulation , hemodynamics , blood pressure , cerebral perfusion pressure , anesthesia , perfusion , cerebral blood flow , cardiology
Summary Blood pressure can vary considerably during anesthesia. If blood pressure falls outside the limits of cerebrovascular autoregulation, children can become at risk of cerebral ischemic or hyperemic injury. However, the blood pressure limits of autoregulation are unclear in infants and children, and these limits can shift after brain injury. This article will review autoregulation, considerations for the hemodynamic management of children with brain injuries, and research on autoregulation monitoring techniques.