Evidence map›Paper›PMID 30928388›Full record

ReviewExperimental neurology2019

Translational approach towards determining the role of cerebral autoregulation in outcome after traumatic brain injury.

William M Armstead, Monica S Vavilala

Open access · bronzeAbstract readReview
In one paragraph

Review in Experimental neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Inhaled Nitric Oxide Promotes Angiogenesis in the Rodent Developing Brain.International journal of molecular sciences · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

William M ArmsteadDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA l9l04, United States of America; Pharmacology, University of Pennsylvania, Philadelphia, PA l9l04, United States of America. Electronic address: armsteaw@uphs.upenn.edu.
Monica S VavilalaDepartment of Anesthesiology, Pediatrics, and Neurological Surgery, Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, United States of America.
Neurological Surgery · USUniversity of Pennsylvania · US

Funding

Pressor Choice Influences Protection Of Autoregulation in Brain InjuryR01NS090998 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ARMSTEAD, WILLIAM M · 2015 to 2019
$1.8M
Vasoactive Agents and Cerebral Outcomes in Brain InjuryR21NS095321 · NINDS · UNIVERSITY OF WASHINGTON · PI VAVILALA, MONICA S · 2015 to 2016
$462k
NINDS NIH HHS R01 NS090998NINDS NIH HHS R21 NS095321
6 · The paper itself

Abstract

Cerebral autoregulation is impaired after traumatic brain injury (TBI), contributing to poor outcome. In the context of the neurovascular unit, cerebral autoregulation contributes to neuronal cell integrity and clinically Glasgow Coma Scale is correlated to intactness of autoregulation after TBI. Cerebral Perfusion Pressure (CPP) is often normalized by use of vasoactive agents to increase mean arterial pressure (MAP) and thereby limit impairment of cerebral autoregulation and neurological deficits. However, current vasoactive agent choice used to elevate MAP to increase CPP after TBI is variable. Vasoactive agents, such as phenylephrine, dopamine, norepinephrine, and epinephrine, clinically have not sufficiently been compared regarding effect on CPP, autoregulation, and survival after TBI. The cerebral effects of these clinically commonly used vasoactive agents are incompletely understood. This review will describe translational studies using a more human like animal model (the pig) of TBI to identify better therapeutic strategies to improve outcome post injury. These studies also investigated the role of age and sex in outcome and mechanism(s) involved in improvement of outcome in the setting of TBI. Additionally, this review considers use of inhaled nitric oxide as a novel neuroprotective strategy in treatment of TBI.

Indexed as

AnimalsBrain Injuries, TraumaticCerebrovascular CirculationDisease Models, AnimalHomeostasisHumansRecovery of FunctionSwineTranslational Research, BiomedicalBrain histopathologyCerebral autoregulationEndothelinNitric oxideSignaling pathwaysTraumatic brain injuryVasopressors

Identifiers

PMID30928388
PMCPMC6544502
OpenAlexW2925135707

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.