Changes in the Intracranial Rheoencephalogram at Lower Limit of Cerebral Blood Flow Autoregulation

Abstract

Cerebral blood flow (CBF) reactivity monitoring is an appropriate primary parameter to evaluate cerebral resuscitation due to a systemic or regional cerebral injury leading to possible irreversible brain injury. Use of the electrical impedance method to estimate CBF is rare, as the method's anatomical background is not well understood. Use of intracranial rheoencepholography (iREG) during hemorrhage, and comparison of iREG to other CBF measurements, have not been previously reported. Our hypothesis was that iREG would reflect early cerebrovascular alteration (CBF autoregulation). Studies comparing iREG, laser Doppler flowmetry, and ultrasound were undertaken on anesthetized rats to define CBF changes during hemorrhage. Blood was removed at a rate required to achieve a mean arterial blood pressure (MABP) of 40 mmHg over 15 min. Estimation of CBF was taken with intracranial, bipolar REG (REG I; n = 14), laser Doppler flowmetry (LDF; n = 3), and carotid flow by ultrasound (n = 11). Data were processed off-line.

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Document Details

Document Type
Technical Report
Publication Date
Mar 29, 2005
Accession Number
ADA442896

Entities

People

  • F. J. Pearce
  • L. Baranyi
  • M. Bodo
  • R. A. Armonda

Organizations

  • Walter Reed Army Institute of Research

Tags

DTIC Thesaurus Topics

  • Arteries
  • Blood
  • Blood Flow
  • Brain Injuries
  • Cardiovascular Physiological Phenomena
  • Cardiovascular System
  • Cerebrovascular Disorders
  • Electrical Impedance
  • Health Services
  • Hemorrhage
  • Intracranial Hypertension
  • Measurement
  • Monitoring
  • Patient Care
  • Physiological Monitoring
  • Therapy
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Library and Information Science

Technology Areas

  • Directed Energy