培训课件_神经系统监测.pptVIP

* * Teaching point. Cerebral perfusion pressure (CPP) = MAP - ICPInadequate CPP (less than 70?mmHg) has been shown to be a major factor in the poor outcome of patients with raised ICP. Assessment of CPP is vital and possible either by measurement of both ICP and MAP (mean arterial pressure - see text) or by measuring MAP and making a reasonable estimate of ICP. During anaesthesia therefore, if ICP is raised a fall in blood pressure must be avoided or treated quickly by volume replacement or catecholamines whichever is relevant. More specifically, when CPP is inadequate the oxygen saturation