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Does hypothermia impair cerebrovascular autoregulation in neonates during cardiopulmonary bypass?

Brendan SmithEric VuKathleen KiblerCraig RusinRonald B EasleyDean AndropoulosJeffrey HeinleMarek CzosnykaDaniel LichtJennifer LynchKenneth M Brady
Published in: Paediatric anaesthesia (2017)
Arterial blood pressure, temperature, and cerebral autoregulation were collinear in this cohort. The conclusion that hypothermia causes impaired autoregulation is thus confounded. The effect of temperature on autoregulation should be delineated before clinical deployment of autoregulation monitors to prevent erroneous determination of optimal arterial blood pressure. Showing the effect of temperature on autoregulation will require a normotensive hypothermic model.
Keyphrases
  • blood pressure
  • cerebral blood flow
  • cardiac arrest
  • brain injury
  • heart rate
  • subarachnoid hemorrhage
  • blood glucose
  • skeletal muscle
  • insulin resistance
  • weight loss
  • liquid chromatography