scholarly journals Sustained moderate reductions in arterial CO2 after brain trauma Time-course of cerebral blood flow velocity and intracranial pressure

2004 ◽  
Vol 30 (12) ◽  
pp. 2180-2187 ◽  
Author(s):  
Luzius A. Steiner ◽  
Marcella Balestreri ◽  
Andrew J. Johnston ◽  
Marek Czosnyka ◽  
Jonathan P. Coles ◽  
...  
PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 737-737
Author(s):  
JEFFREY M. PERLMAN ◽  
JOSEPH J. VOLPE

In Reply.— Marshall misread a critical piece of information in the text. His interpretation of the data would be correct, if the intracranial pressure, arterial blood pressure, and cerebral blood flow velocity changes occurred simultaneously. However, as we stated in the text (see section on "Temporal Features of Changes with Suctioning"), the intracranial pressure fell to base-line values immediately following suctioning, whereas the changes in arterial blood pressure and cerebral blood flow velocity occurred more slowly over an approximately two-minute period.


1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 66A-66A
Author(s):  
C Hammerman ◽  
J Glaser ◽  
M Kaplan ◽  
B Ferber ◽  
M S Schimmel ◽  
...  

PEDIATRICS ◽  
1983 ◽  
Vol 72 (3) ◽  
pp. 329-334 ◽  
Author(s):  
Jeffrey M. Perlman ◽  
Joseph J. Volpe

The relationship of suctioning to changes in the cerebral circulation was studied in 35 premature newborn infants. The objectives of the study were to determine whether important alterations occur in cerebral hemodynamics with suctioning and whether such alterations relate to systemic hemodynamic events. A transcutaneous Doppler technique was used to measure blood flow velocity in the anterior cerebral arteries. A prominent increase in cerebral blood flow velocity was documented in nearly all patients. Accompanying the increase in cerebral flow velocity was a marked increase in blood pressure; thus, the increased cerebral flow velocity appeared to reflect directly changes in systemic hemodynamic events. Also accompanying the increase in cerebral flow velocity was a marked increase in intracranial pressure. These data suggest potentially deleterious effects of suctioning in the preterm infant at risk for the occurrence of intraventricular hemorrhage and raise questions regarding the advisability of routine suctioning of such infants.


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