Individualized autoregulation-guided arterial blood pressure management in neurocritical care

Neurotherapeutics, Journal Year: 2025, Volume and Issue: unknown, P. e00526 - e00526

Published: Jan. 1, 2025

Language: Английский

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Aiming for the right Pressure! – clinical impact of recently published research regarding post-cardiac arrest blood pressure thresholds in children

Resuscitation, Journal Year: 2025, Volume and Issue: unknown, P. 110492 - 110492

Published: Jan. 1, 2025

Language: Английский

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Systematic review and meta-analysis of transcranial doppler biomarkers for the prediction of delayed cerebral ischemia following subarachnoid hemorrhage

Journal of Cerebral Blood Flow & Metabolism, Journal Year: 2025, Volume and Issue: unknown

Published: March 20, 2025

Delayed cerebral ischemia (DCI) following an aneurysmal subarachnoid hemorrhage (aSAH) significantly impacts mortality, morbidity, and healthcare costs. This study assessed the diagnostic accuracy of Transcranial Doppler (TCD)-derived biomarkers for predicting DCI via a systematic review meta-analysis. Included studies had to correctly define report data on sensitivity, specificity, positive predictive value, negative value. Univariate or bivariate analyses with random effects model were used, risk bias was evaluated Quality Assessment Diagnostic Accuracy Studies. From 23 eligible articles (n = 2371 patients), three biomarker categories identified: blood flow velocities (CBFV), autoregulation, microembolic signals (MES). The highest sensitivity (0.86, 95% CI 0.71–0.94) specificity (0.75, 0.52–0.94) prediction achieved mean CBFV 120 cm/s combined Lindegaard ratio. transient hyperemic response test showed best performance among autoregulatory 0.88, (95% 0.54–0.98) 0.82 0.52–0.94). MES less effective predictors. Combining enhanced TCD’s High heterogeneity noted, indicating need standardized TCD approach improved evaluation.

Language: Английский

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Continuous monitoring of intracranial pressure and end tidal carbon dioxide variations in traumatic brain injury: introducing the carbon dioxide reactivity index (CO2Rx).

Journal of Clinical Monitoring and Computing, Journal Year: 2025, Volume and Issue: unknown

Published: March 22, 2025

Language: Английский

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Intra-operative haemodynamic monitoring and management of adults having noncardiac surgery

European Journal of Anaesthesiology, Journal Year: 2025, Volume and Issue: 42(6), P. 543 - 556

Published: May 1, 2025

This article was developed by a diverse group of 25 international experts from the European Society Anaesthesiology and Intensive Care (ESAIC), who formulated recommendations on intra-operative haemodynamic monitoring management adults having noncardiac surgery based review current evidence. We recommend basing arterial pressure mean keeping above 60 mmHg. further identifying underlying causes hypotension addressing them appropriately. suggest pragmatically treating bradycardia or tachycardia when it leads to profound likely results in reduced cardiac output, oxygen delivery organ perfusion. stroke volume output patients with high baseline risk for complications high-risk assess status response therapeutic interventions. However, we not routinely maximising surgery. Instead, defining targets individually each patient considering clinical situation metabolic signs tissue perfusion oxygenation. giving fluids simply because is fluid responsive but only if there are hypovolaemia hypoperfusion. optimising depth anaesthesia titrate doses anaesthetic drugs reduce their side effects.

Language: Английский

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INVITED EDITORIAL: “Cerebral autoregulation monitoring – Time to prioritize the brain?”

Journal of Cardiothoracic and Vascular Anesthesia, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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IMPAIRED CEREBRAL AUTOREGULATION IN CHILDREN

Pediatric Neurology, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Impact of mild hypo- and hyperventilation on cerebral oxygen supply during general anesthesia

Perioperative Medicine, Journal Year: 2025, Volume and Issue: 14(1)

Published: March 17, 2025

Language: Английский

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Optic Nerve Sheath Diameter Sonography for the Diagnosis of Increased Intracranial Pressure in Nontraumatic Neurocritically Ill Patients: a Diagnostic Accuracy Systematic Review and Meta-Analysis

Neurocritical Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Language: Английский

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Year in Review: Synopsis of Selected Articles in Neuroanesthesia and Neurocritical Care from 2024

Journal of Neuroanaesthesiology and Critical Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 25, 2025

Abstract This review is a synopsis of selected articles from neuroscience, neuroanesthesia, and neurocritical care 2024 (January–November 2024). The journals reviewed include anesthesia journals, critical medicine neurosurgical high-impact medical such as the Lancet, Journal American Medical Association, New England Medicine, Stroke. We identified that are randomized clinical trials, large retrospective prospective observational studies, systematic reviews, meta-analysis relevant to neuroanesthesia practice. excluded basic science research articles, case reports, series. summary important will serve update knowledge neuroanesthesiologists other perioperative physicians who provide cases.

Language: Английский

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