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Cerebral microdialysis: research technique or clinical tool

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Presentation on theme: "Cerebral microdialysis: research technique or clinical tool"— Presentation transcript:

1 Cerebral microdialysis: research technique or clinical tool
Tisdall M.M. , Smith M   British Journal of Anaesthesia  Volume 97, Issue 1, Pages (July 2006) DOI: /bja/ael109 Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Components of clinical MD catheter. 1, pump connector; 2, inlet tube; 3, MD catheter; 4, MD membrane; 5, outlet tube; 6, microvial holder; 7, microvial for collection of microdialysate. British Journal of Anaesthesia  , 18-25DOI: ( /bja/ael109) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Schematic representation of MD catheter in brain tissue. Fluid isotonic to the brain ECF is pumped through the MD catheter at a rate of 0.3 µl min−1. Molecules at high concentration in the brain ECF equilibrate across the semi-permeable MD membrane and can be analysed in the collected perfusate (the microdialysate). British Journal of Anaesthesia  , 18-25DOI: ( /bja/ael109) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Schematic representation of relationship between blood capillary and MD catheter in brain tissue. The MD catheter acts as an artificial blood capillary and the concentration of substrate in the collected fluid (microdialysate) is related to the balance between substrate delivery to, and uptake/excretion from, the ECF. British Journal of Anaesthesia  , 18-25DOI: ( /bja/ael109) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Changes in LPR in ‘at-risk’ (a) and normal (b) brain during a period of low and normal CPP. The normal range for LPR is shown by the shaded area. Note the increase in LPR in the ‘at-risk’ tissue during a period of cerebral hypoperfusion with normal values measured by the catheter in normal brain. British Journal of Anaesthesia  , 18-25DOI: ( /bja/ael109) Copyright © 2006 British Journal of Anaesthesia Terms and Conditions


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