Evidence map›Paper›PMID 30196311›Full record

ReviewPediatric research2018

Neonatal cerebrovascular autoregulation.

Christopher J Rhee, Cristine Sortica da Costa, Topun Austin, Ken M Brady, Marek Czosnyka, Jennifer K Lee

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06994494 (Noninvasive Continuous BP Monitoring in Newborns Based on Pulsatile Signal Morphological Features Using NIRS), which is not on this map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
7.6field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06994494 recruitingnot on this mapstarted 2025, after this paper: background citation

Noninvasive Continuous BP Monitoring in Newborns Based on Pulsatile Signal Morphological Features Using NIRS

TypeobservationalSponsorMassachusetts General HospitalRan2025 to 2026Enrolled80ConditionsUnstable Blood Pressure, Hypotension
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. The effect of head positioning on brain tissue oxygenation in preterm infants: a randomized clinical trial study.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Trial
  5. The effect of umbilical cord milking on cerebral blood flow in very preterm infants: a randomized controlled study.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Trial
  6. Observational
  7. Article
  8. Article
  9. Multimodal neuromonitoring modalities of neonatal patients on extracorporeal membrane oxygenation.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Prediction of acute lung injury/acute respiratory distress syndrome after cardiopulmonary bypass in infants by monitoring femoral oxygen saturation.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article

45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Christopher J RheeBaylor College of Medicine, Texas Children's Hospital, Department of Pediatrics, Section of Neonatology, Houston, TX, USA. cjrhee@texaschildrens.org.
Cristine Sortica da CostaNeonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Topun AustinNeonatal Unit, Rosie Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Ken M BradyBaylor College of Medicine, Texas Children's Hospital, Department of Pediatrics, Critical Care Medicine and Anesthesiology, Houston, TX, USA.
Marek CzosnykaDepartment of Academic Neurosurgery, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.
Jennifer K LeeDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA.
Cambridge University Hospitals NHS Foundation Trust · GBTexas Children's Hospital · USAddenbrooke's Hospital · GBJohns Hopkins University · US

Funding

Brain Microstructural MRI in a Piglet Model of Hypoxia-IschemiaR01NS107417 · NINDS · JOHNS HOPKINS UNIVERSITY · PI LEE, JENNIFER KIM · 2018 to 2022
$1.8M
Neuronal injury after pediatric cardiac arrest, hypothermia, and rewarmingK08NS080984 · NINDS · JOHNS HOPKINS UNIVERSITY · PI LEE, JENNIFER KIM · 2014 to 2018
$960k
DIASTOLIC CLOSING MARGIN PREDICTS BRAIN INJURY IN PREMATURE INFANTSK23NS091382 · NINDS · BAYLOR COLLEGE OF MEDICINE · PI RHEE, CHRISTOPHER J. · 2015 to 2020
$868k
NINDS NIH HHS K08 NS080984NINDS NIH HHS K23 NS091382NINDS NIH HHS R01 NS107417
6 · The paper itself

Abstract

Cerebrovascular pressure autoregulation is the physiologic mechanism that holds cerebral blood flow (CBF) relatively constant across changes in cerebral perfusion pressure (CPP). Cerebral vasoreactivity refers to the vasoconstriction and vasodilation that occur during fluctuations in arterial blood pressure (ABP) to maintain autoregulation. These are vital protective mechanisms of the brain. Impairments in pressure autoregulation increase the risk of brain injury and persistent neurologic disability. Autoregulation may be impaired during various neonatal disease states including prematurity, hypoxic-ischemic encephalopathy (HIE), intraventricular hemorrhage, congenital cardiac disease, and infants requiring extracorporeal membrane oxygenation (ECMO). Because infants are exquisitely sensitive to changes in cerebral blood flow (CBF), both hypoperfusion and hyperperfusion can cause significant neurologic injury. We will review neonatal pressure autoregulation and autoregulation monitoring techniques with a focus on brain protection. Current clinical therapies have failed to fully prevent permanent brain injuries in neonates. Adjuvant treatments that support and optimize autoregulation may improve neurologic outcomes.

Indexed as

Arterial PressureCerebrovascular CirculationExtracorporeal Membrane OxygenationHomeostasisHumansInfantInfant, NewbornInfant, Newborn, DiseasesMonitoring, PhysiologicSpectroscopy, Near-Infrared

Identifiers

PMID30196311
PMCPMC6422675
OpenAlexW2889948338

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.