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Direct Noninvasive Assessment of Brain Metabolism during Increased Intracranial Pressure: Potential Therapeutic Vistas
Journal article

Direct Noninvasive Assessment of Brain Metabolism during Increased Intracranial Pressure: Potential Therapeutic Vistas

CHARLES Cairns, DREW Fillipo, G WILLIAM Palladino and HERBERT Proctor
The journal of trauma, v 26(10), pp 863-868
Oct 1986
PMID: 3021965

Abstract

Intracranial pressure was increased in cats by infusing ‘mock’ CSF intracranially, thus decreasing cerebral perfusion and oxygenation. The cats then randomly received either 50% 02 or 50% 02—5% CO2 by inhalation. As monitored by in vivo near-infrared spectroscopy (NIR), no improvement was noted after 50% O2 whereas 50% O2-5% C02 resulted in increased perfusion, an oxidation of cytochrome a,a3, an increase in oxyhemoglobin, and reduced quantities of de-oxyhemoglobin (p < 0.01) despite a further increase in intracranial pressure. The authors conclude thata) NIK is a useful means of noninvasively and directly assessing brain metabolism and has advantages over simple ICP monitoring; and b) continued investigations of C02 as a possible therapeutic modality after head injury appear warranted.

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Web of Science research areas
Critical Care Medicine
Surgery
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