Uma das principais preocupações com os pacientes neurológicos, internados nas unidades intensivas, é a elevação da pressão intracraniana. Sendo que esta com a pressão arterial média determinam a pressão de perfusão cerebral, que é fundamental para a avaliação do fluxo sanguíneo cerebral.
Antônio Falcão, Coordenador da Disciplina de Fisiologia e Metabologia Cirúrgica da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (UNICAMP) apresenta a palestra "Individualized therapy in Neurocritical Care ICP management and CPP levels". Nesta palestra discute-se a necessidade se ter uma pressão intracraniana e pressão arterial média adequada (numerador do fluxo sanguíneo cerebral) para se ter um bom fluxo sanguíneo. No entanto, o DO2, a entrega do oxigênio ao tecido (débito cardíaco multiplicado pelo conteúdo arterial) é extremamente importante e o intensivista (neurointensivista) deve ter total domínio destes conceitos (hemoglobina ideal, entre outros). Além disto, é importante considerar e conhecer a autorregulação do paciente.
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