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[1] [20] One of the main dangers of increased ICP is that it can cause ischemia by decreasing CPP. Once the ICP approaches the level of the mean systemic pressure, cerebral perfusion falls. The body's response to a fall in CPP is to raise systemic blood pressure and dilate cerebral blood vessels. This results in increased cerebral blood volume ...
An alternative definition of CPP is: [1] = where: MAP is mean arterial pressure ICP is intracranial pressure JVP is jugular venous pressure. This definition may be more appropriate if considering the circulatory system in the brain as a Starling resistor, where an external pressure (in this case, the intracranial pressure) causes decreased blood flow through the vessels.
Too little blood flow results if blood flow to the brain is below 18 to 20 ml per 100 g per minute, and tissue death occurs if flow dips below 8 to 10 ml per 100 g per minute. In brain tissue, a biochemical cascade known as the ischemic cascade is triggered when the tissue becomes ischemic, potentially resulting in damage to and the death of ...
Perfusion may also refer to fixation via perfusion, used in histological studies. Perfusion is measured as the rate at which blood is delivered to tissue, [2] or volume of blood per unit time (blood flow) per unit tissue mass. The SI unit is m 3 /(s·kg) [citation needed], although for human organs perfusion is typically reported in ml/min/g. [3]
If H i is 0.40 one must remove at least 7.5 units of blood during ANH, resulting in an H m of 0.20 to save two units equivalence. Clearly, the greater the H i and the greater the number of units removed during hemodilution, the more effective ANH is for preventing homologous blood transfusion.
The cerebral blood volume value of gray matter is about 3.5 +/- 0.4 ml/100g, and the white matter is about 1.7 +/- 0.4 ml/100g. The gray matter is nearly twice that of white matter. [3] In both white and gray matter, cerebral blood volume decreases by about 0.50% per year with increasing age. [4]
Blood vessels do not actively engage in the transport of blood (they have no appreciable peristalsis). Blood is propelled through arteries and arterioles through pressure generated by the heartbeat. [18] Blood vessels also transport red blood cells. Hematocrit tests can be performed to calculate the proportion of red blood cells in the blood.
Then, because of its large number (10-14 million capillaries), there is an incredible amount of surface area for exchange. However, this only has 5% of the total blood volume (250 ml 5000 ml). Finally, blood flows more slowly in the capillaries, given the extensive branching. [4]