4.6 Letter

Intracranial pressure pulse morphology: the missing link?

Journal

INTENSIVE CARE MEDICINE
Volume 48, Issue 11, Pages 1667-1669

Publisher

SPRINGER
DOI: 10.1007/s00134-022-06855-2

Keywords

-

Ask authors/readers for more resources

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Physiology

Contribution of intracranial pressure to human dynamic cerebral autoregulation after acute brain injury

Sergio Brasil, Ricardo C. Nogueira, Angela S. M. Salinet, Marcia H. Yoshikawa, Manoel J. Teixeira, Wellingson Paiva, Luiz M. S. Malbouisson, Edson Bor-Seng-Shu, Ronney B. Panerai

Summary: This study found that in patients with acute brain injury, intracranial pressure (ICP) contributes less to cerebral blood flow autoregulation compared to mean arterial blood pressure (MAP). This has implications for the management of arterial blood pressure in neurocritical patients.

AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY (2023)

Review Medicine, Research & Experimental

Animal models for the study of intracranial hematomas (Review)

Wellingson Silva Paiva, Emanuele Zippo, Carolina Miranda, Sergio Brasil, Daniel Augustin Godoy, Almir Ferreira De Andrade, Iuri Neville, Gustavo Cartaxo Patriota, Renan Domingues, Manoel Jacobsen Teixeira

Summary: Intracranial hematomas (ICH) are a common condition in neurosurgical and neurological practices, and experimental research has played a fundamental role in understanding the pathophysiology and developing therapeutic interventions. Various animal models have been used to study ICH, including autologous blood or bacterial collagenase injection, inflation of intracranial balloon, and avulsion of cerebral vessels. These models have improved our understanding of intracranial hypertension, neuroinflammation, immunology, and brain hemodynamics, and have contributed to the development of therapeutic strategies.

EXPERIMENTAL AND THERAPEUTIC MEDICINE (2023)

Article Anesthesiology

Noninvasive intracranial pressure waveforms for estimation of intracranial hypertension and outcome prediction in acute brain-injured patients

Sergio Brasil, Gustavo Frigieri, Fabio Silvio Taccone, Chiara Robba, Davi Jorge Fontoura Solla, Ricardo de Carvalho Nogueira, Marcia Harumy Yoshikawa, Manoel Jacobsen Teixeira, Luiz Marcelo Sa Malbouisson, Wellingson Silva Paiva

Summary: This study assessed the correlation between noninvasive intracranial pressure waveforms (NICPW) and invasively measured intracranial pressure (ICP), as well as the prognostic value of NICPW in acute brain-injured patients. The results showed a significant correlation between NICPW and ICP, and the NICPW-derived P2/P1 ratio could predict intracranial hypertension and early death.

JOURNAL OF CLINICAL MONITORING AND COMPUTING (2023)

Letter Critical Care Medicine

Application of non-invasive ICP waveform analysis in acute brain injury: Intracranial Compliance Scale

Gustavo Frigieri, Chiara Robba, Fabio Santana Machado, Joao A. A. Gomes, Sergio Brasil

INTENSIVE CARE MEDICINE EXPERIMENTAL (2023)

Article Hematology

Clinical and histopathology characteristics of Castleman disease: a multicenter study of 51 Brazilian patients

Julia Mota Leite, Tomas Zecchini Barrese, Leonardo Sementilli, Leandro Luiz Lopes de Freitas, Kleber Simoes do Espirito Santo, Marcia Torresan Delamain, Otavio Cesar Carvalho Guimaraes Baiocchi, Sergio Augusto Buzian Brasil, Carlos Sergio Chiattone

Summary: Castleman's disease (CD) is a rare lymphoproliferative disorder with limited clinical information in Brazil. A retrospective study analyzed the medical records of 44 patients between 1999 and 2020. The study found differences in age, gender, affected sites, histological forms, symptoms, and biopsy rates between unicentric and multicentric CD patients. The study also observed similarities in clinical profiles to previous literature, such as gender, age, symptoms, and treatment.

ANNALS OF HEMATOLOGY (2023)

Article Critical Care Medicine

Critical Closing Pressure and Cerebrovascular Resistance Responses to Intracranial Pressure Variations in Neurocritical Patients

Sergio Brasil, Ricardo de Carvalho Nogueira, Angela Salomao Macedo Salinet, Marcia Harumy Yoshikawa, Manoel Jacobsen Teixeira, Wellingson Paiva, Luiz Marcelo Sa Malbouisson, Edson Bor-Seng-Shu, Ronney B. Panerai

Summary: This study evaluates the effects of intracranial pressure (ICP) variability on critical closing pressure (CrCP) and resistance-area product (RAP) among patients with acute brain injury (ABI). The results show a strong correlation between changes in ICP and corresponding changes in CrCP. Patients who underwent neurosurgical interventions have elevated cerebrovascular resistance despite increased arterial blood pressure responses.

NEUROCRITICAL CARE (2023)

Editorial Material Endocrinology & Metabolism

Point-Counterpoint: Cerebral perfusion pressure is a high-risk concept

Sergio Brasil, Ronney B. Panerai, Edson Bor-Seng-Shu, Ricardo C. Nogueira

Summary: Cerebral perfusion pressure (CPP), which is commonly used in neurocritical care, is calculated as the difference between mean arterial blood pressure and mean intracranial pressure. This commentary discusses recent physiological advances and bedside practice issues, suggesting that considering CPP under this perspective may lead to inaccurate assumptions and potentially misleading decision making.

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM (2023)

Letter Critical Care Medicine

Cerebral Autoregulation Monitoring: A Guide While Navigating in Troubled Waters

Sergio Brasil, Juliana Caldas, Lucy Beishon, Jatinder S. Minhas, Ricardo C. Nogueira

NEUROCRITICAL CARE (2023)

Article Critical Care Medicine

Improved Transcranial Doppler Waveform Analysis for Intracranial Hypertension Assessment in Patients with Traumatic Brain Injury

Sergio Brasil, Hannah Romeijn, Esther K. Haspels, Wellingson Paiva, Arjen Schaafsma

Summary: This study compares the predictive value of the pulsatile apparent resistance (PaR) index versus the pulsatility index (PI) for intracranial hypertension (ICP > 20 mm Hg) in patients with traumatic brain injury. The results show that the discriminative power of PaR for discriminating intracranial hypertension was superior to PI. PaR seems to be a reliable noninvasive parameter for detecting intracranial hypertension.

NEUROCRITICAL CARE (2023)

Article Clinical Neurology

Doing More with Less on Intracranial Pressure Monitoring

Sergio Brasil, Daniel A. Godoy, Wellingson S. Paiva

Summary: Based on recent research, intracranial pressure management based on predetermined thresholds is not accurate, and physicians need to combine other neuromonitoring techniques to comprehensively evaluate patients' neurological conditions.

WORLD NEUROSURGERY (2023)

Letter Clinical Neurology

A new noninvasive method can effectively assess intracranial compliance. Letter to the Editor

Sergio Brasil, Daniel Agustin Godoy

ACTA NEUROCHIRURGICA (2023)

Review Critical Care Medicine

The intracranial compartmental syndrome: a proposed model for acute brain injury monitoring and management

Daniel Agustin Godoy, Sergio Brasil, Corrado Iaccarino, Wellingson Paiva, Andres M. Rubiano

Summary: For decades, the management of severe acute brain injury has focused on controlling intracranial hypertension (IH). However, the thresholds for determining IH have changed over time without clear evidence. Recent developments in understanding intracranial content dynamics and monitoring techniques suggest that targeting intracranial compliance (ICC) may be a more reliable approach. This perspective review discusses the concept of intracranial compartmental syndrome (ICCS) and proposes an integrative model for assessing IH and ICC using modern invasive and noninvasive techniques.

CRITICAL CARE (2023)

Meeting Abstract Critical Care Medicine

IMPORTANCE OF NEUROMONITORING FOR NONPRIMARY NEUROLOGIC CRITICAL PATIENTS

Sergio Brasil, Fabio Taccone

CRITICAL CARE MEDICINE (2023)

Meeting Abstract Critical Care Medicine

NONINVASIVE INTRACRANIAL PRESSURE PULSE MORPHOLOGY IN NEUROCRITICAL CARE

Sergio Brasil, Gustavo Frigieri, Chiara Robba, Fabio Taccone

CRITICAL CARE MEDICINE (2023)

Article Surgery

Assessing ultrasonographic optic nerve sheath diameter in animal model with anesthesia regimens

Maira de Robertis Azevedo, Marcelo de-Lima-Oliveira, Alessandro Rodrigo Belon, Sergio Brasil, Manoel Jacobsen Teixeira, Wellingson Silva Paiva, Edson Bor-Seng-Shu

Summary: This study aimed to determine the normal optical nerve sheath (ONS) diameter using ultrasonography (ONSUS) and evaluate the potential effects of drugs on ONS diameter during anesthetic induction in healthy pigs. The results showed that sedation with thiopental led to a significant reduction in ONS diameter compared to propofol.

ACTA CIRURGICA BRASILEIRA (2022)

No Data Available