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The Impact of Inotropes and Vasopressors on Cerebral Oxygenation in Patients with Traumatic Brain Injury and Subarachnoid Hemorrhage: A Narrative Review
24 janvier 2024, Michele Salvagno; Federico Geraldini; Giacomo Coppalini; Chiara Robba; Elisa Gouvea Bogossian; Filippo Annoni; Eva Vitali; Elda Diletta Sterchele; BALESTRA, Costantino; Fabio Silvio Taccone, HE Bruxelles BrabantArticle scientifiqueTraumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are critical neurological conditions that necessitate specialized care in the Intensive Care Unit (ICU). Managing cerebral perfusion pressure (CPP) and mean arterial pressure (MAP) is of primary importance in these patients. To maintain targeted MAP and CPP, vasopressors and/or inotropes are commonly used. However, their effects on ... -
Oxidative Stress and Cerebral Vascular Tone: The Role of Reactive Oxygen and Nitrogen Species
05 mars 2024, Michele Salvagno; Elda Diletta Sterchele; Mario Zaccarelli; Simona Mrakic-Sposta; Ian James Welsby; BALESTRA, Costantino; Fabio Silvio Taccone, HE Bruxelles BrabantArticle scientifiquehe brain's unique characteristics make it exceptionally susceptible to oxidative stress, which arises from an imbalance between reactive oxygen species (ROS) production, reactive nitrogen species (RNS) production, and antioxidant defense mechanisms. This review explores the factors contributing to the brain's vascular tone's vulnerability in the presence of oxidative damage, which can be of clinical ...