Precise Clinical Outcome in High-Grade Aneurysmal Subarachnoid Hemorrhage: Brain Oxygenation Matters

[...]although sufficient cerebral perfusion pressure (CPP) must be reached to guide neurointensive care, other goals could be used. Precise cerebral output with cerebral transcranial Doppler may also guide complex hemodynamic resuscitation rather than dobutamine or central venous pressure monitoring...

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Bibliographic Details
Published in:Neurocritical care 2021-06, Vol.34 (3), p.1108-1109
Main Authors: Schmitt, Johan, Aries, Philippe, Danguy Des Deserts, Marc, Giacardi, Christophe
Format: Article
Language:English
Subjects:
Clinical outcomes
Critical Care Medicine
Hemodynamics
Hemorrhage
Intensive
Internal Medicine
Intracranial pressure
Ischemia
Letter to the Editor
Medicine
Medicine & Public Health
Neurology
Neurosurgery
Patients
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Description
Summary:[...]although sufficient cerebral perfusion pressure (CPP) must be reached to guide neurointensive care, other goals could be used. Precise cerebral output with cerebral transcranial Doppler may also guide complex hemodynamic resuscitation rather than dobutamine or central venous pressure monitoring. [...]a unique CPP threshold value may not be sufficient for each vasospasm phase for any patient.
ISSN:1541-6933
1556-0961
DOI:10.1007/s12028-021-01242-z