Skip to main content

Autoregulation of Cerebral Blood Flow During Controlled Hypotension

  • Chapter
Cerebral Circulation and Metabolism

Abstract

Controlled hypotension has played a useful and at times valuable part in neurosurgical operations since 1946, when Gardner (5) first used arteriotomy to facilitate the removal of a large olfactory groove meningioma. Some seven years later Wiklund (15) recommended the use of pharmacologically induced hypotension in the treatment of vascular intracranial lesions. At the present time, despite the widespread use of the technique, considerable disagreement still exists regarding its safety (3, 13), the primary objections stemming from uncertainties regarding the adequacy of cerebral tissue perfusion during the periods of lowered blood pressure. The present investigations were undertaken to measure the effects of a graded, but progressive, reduction in systemic arterial pressure on the cerebral blood flow of anesthetized baboons.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bessman, A. N., Alman, R. W., and Fazekas, J. F.: “Effect of acute hypotension on cerebral hemodynamics and metabolism of elderly patients.” Arch. Intern. Med. 89:893–898 (1952).

    CAS  Google Scholar 

  2. du Boulay, G. H., Symon, L., Shah, S., and Ackermann, R.: “Some aspects of the reactivity arteries in spasm.” European Soc. Neuroradiol. (to be published).

    Google Scholar 

  3. Enderby, G. E. H.: Correspondence Surv. Anesth. 16:276 (1972).

    Article  Google Scholar 

  4. Finnerty, F. A., Witkin, L., and Fazekas, J. F.: “Cerebral hemodynamics during cerebral ischemia induced by acute hypotension.” J. Clin. Invest. 33:1227–1232 (1954).

    Article  PubMed  Google Scholar 

  5. Gardner, W. J.: “The control of bleeding during operations by induced hypotension.” J. Am. Med. Assoc. 132:574–575 (1946).

    Google Scholar 

  6. Harper, A. M.: “Autoregulation of cerebral blood flow: Influence of the arterial blood pressure on the blood flow through the cerebral cortex.” J. Neurol. Neurosurg. Psychiat. 29:398–403 (1966).

    Article  PubMed  CAS  Google Scholar 

  7. Harper, A. M., Deshmukh, V. D., Rowan, J. O., and Jennett, W. B.: “The influence of sympathetic nervous activity on cerebral blood flow.” Arch. Neurol. 27:1–6 (1972).

    PubMed  CAS  Google Scholar 

  8. Haggendal, E.: “Blood flow autoregulation of the cerebral grey matter with comments on its mechanism.” Arch. Neurol. Scand. Suppl. 14. 104–110 (1965).

    CAS  Google Scholar 

  9. Høedt-Rasmussen, K., Sveinsdottir, E., and Lassen, N. A.: “Regional cerebral blood flow in man determined by intra-arterial injection of radioactive inert gas.” Circulation Res. 18:237–247 (1966).

    PubMed  Google Scholar 

  10. James, I. M., Millar, R. A., and Purves, M. J.: “Observations on the extrinsic neural control of cerebral blood flow in the baboon.” Circulation Res. 25:77–93 (1969).

    PubMed  CAS  Google Scholar 

  11. Kleinerman, J., Sancetta, S. M., and Hackel, D. B.: “Effects of high spinal anesthesia on cerebral circulation and metabolism in man.” J. Clin. Invest. 37:284–293 (1958).

    Article  Google Scholar 

  12. Lassen, N. A.: “Cerebral blood flow and oxygen consumption in man.” Physiol. Rev. 39:183–238 (1959).

    PubMed  CAS  Google Scholar 

  13. Mayrhofer, O. K.: Comments Surv. Anesth. 15:230–231 (1971).

    Article  Google Scholar 

  14. Rapela, C. E., and Green, H. D.: “Autoregulation of canine cerebral blood flow.” Circulation Res., Suppl 1, 14–15:205–224 (1964).

    Google Scholar 

  15. Wiklund, P. E. “Controlled hypotension at intracranial operations.” J. Neurosurg. 10:617–623 (1953).

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1975 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Fitch, W., Ferguson, G.G., Sengupta, D., Garibi, J. (1975). Autoregulation of Cerebral Blood Flow During Controlled Hypotension. In: Langfitt, T.W., McHenry, L.C., Reivich, M., Wollman, H. (eds) Cerebral Circulation and Metabolism. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65814-3_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-65814-3_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-65816-7

  • Online ISBN: 978-3-642-65814-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics