Cerebral Blood Flow Autoregulation and Dysautoregulation

Anesthesiol Clin. 2016 Sep;34(3):465-77. doi: 10.1016/j.anclin.2016.04.002.

Abstract

This article provides a review of cerebral autoregulation, particularly as it relates to the clinician scientist experienced in neuroscience in anesthesia and critical care. Topics covered are biological mechanisms; methods used for assessment of autoregulation; effects of anesthetics; role in control of cerebral hemodynamics in health and disease; and emerging areas, such as role of age and sex in contribution to dysautoregulation. Emphasis is placed on bidirectional translational research wherein the clinical informs the study design of basic science studies, which, in turn, informs the clinical to result in development of improved therapies for treatment of central nervous system conditions.

Keywords: Anesthetics; Cerebral autoregulation; Cerebral blood flow; Traumatic brain injury.

Publication types

  • Review

MeSH terms

  • Anesthetics / pharmacology
  • Animals
  • Brain Injuries, Traumatic / physiopathology
  • Cerebrovascular Circulation / physiology*
  • Extracellular Signal-Regulated MAP Kinases / physiology
  • Homeostasis / drug effects
  • Homeostasis / physiology*
  • Humans
  • Intracranial Pressure

Substances

  • Anesthetics
  • Extracellular Signal-Regulated MAP Kinases