0000000000701391

AUTHOR

Marek Czosnyka

showing 3 related works from this author

Cerebral Autoregulation in Non-Brain Injured Patients: A Systematic Review.

2021

Introduction: Cerebral autoregulation (CA) plays a fundamental role in the maintenance of adequate cerebral blood flow (CBF). CA monitoring, through direct and indirect techniques, may guide an appropriate therapeutic approach aimed at improving CBF and reducing neurological complications; so far, the role of CA has been investigated mainly in brain-injured patients. The aim of this study is to investigate the role of CA in non-brain injured patients.Methods: A systematic consultation of literature was carried out. Search terms included: “CA and sepsis,” “CA and surgery,” and “CA and non-brain injury.”Results: Our research individualized 294 studies and after screening, 22 studies were anal…

medicine.medical_specialtycerebral autoregulationperioperative carenon-brain injuryneurologic outcomeCerebral autoregulationSepsissepsisTherapeutic approachPediatric surgerymedicinepediatric surgeryRC346-429Septic shockbusiness.industrymedicine.diseaseCardiac surgeryNeurologyCerebral blood flowAnesthesiaDeliriumSystematic ReviewNeurology. Diseases of the nervous systemNeurology (clinical)medicine.symptombusiness
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Arterial and Venous Cerebral Blood Flow Velocities and Their Correlation in Healthy Volunteers and Traumatic Brain Injury Patients.

2020

Few studies have explored the cerebral venous compartment or the correlation between venous and arterial cerebral blood flows. We aimed to correlate cerebral blood flow velocities in the arterial (middle cerebral artery) and venous (straight sinus) compartments in healthy volunteers and traumatic brain injury (TBI) patients. In addition, we determined the normative range of these parameters.A total of 122 healthy volunteers and 95 severe TBI patients of both sexes were included and stratified into 3 age groups as follows: group 1 (aged, 18 to 44 y); group 2 (aged, 45 to 64 y); group 3 (older than 65 y). Transcranial Doppler systolic cerebral blood flow velocity, diastolic cerebral blood flo…

Malemedicine.medical_specialtyTraumatic brain injuryUltrasonography Doppler TranscranialDiastoleCorrelationmedicine.arteryInternal medicineHealthy volunteersBrain Injuries TraumaticmedicineHumansAgedbusiness.industrymedicine.diseaseHealthy VolunteersTranscranial DopplerAnesthesiology and Pain MedicineCerebral blood flowCerebrovascular CirculationMiddle cerebral arteryCardiologySurgeryFemaleNeurology (clinical)businessBlood Flow VelocityStraight sinusJournal of neurosurgical anesthesiology
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Effects of Age and Sex on Optic Nerve Sheath Diameter in Healthy Volunteers and Patients With Traumatic Brain Injury.

2020

The measurement of optic nerve sheath diameter (ONSD) has been reported as a non-invasive marker for intracranial pressure (ICP). Nevertheless, it is uncertain whether possible ONSD differences occur with age and sex in healthy and brain-injured populations. The aim of this study was to investigate the effects of sex and age on ONSD in healthy volunteers and patients with traumatic brain injury. We prospectively included 122 healthy adult volunteers (Galliera Hospital, Genova, Italy), and compared age/sex dependence of ONSD to 95 adult patients (Addenbrooke's Hospital, Cambridge, UK) with severe traumatic brain injury (TBI) requiring intubation and invasive ICP monitoring. The two groups we…

medicine.medical_specialtyNeurologyTraumatic brain injurymedicine.medical_treatmentintracranial pressureAge and sexlcsh:RC346-42903 medical and health sciences0302 clinical medicineInterquartile rangeoptic nerve sheath diameterHealthy volunteersMedicineIntubationYoung adultlcsh:Neurology. Diseases of the nervous systemOriginal ResearchIntracranial pressurebusiness.industryhealthy volunteers; intracranial pressure; optic nerve sheath diameter; traumatic brain injury; ultrasonographytraumatic brain injury030208 emergency & critical care medicineultrasonographymedicine.diseaseNeurologyhealthy volunteersAnesthesiaNeurology (clinical)business030217 neurology & neurosurgery
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