the cerebral perfusion index (cpi) 2019 jasm… · dr. kevin lee miranda hunt ... dr. shane english...

8
The Cerebral Perfusion Index (CPI): Developing a Novel Model of Cerebral Perfusion in the Intensive Care Unit Jasmine Khan MD/PhD Student Queen’s University

Upload: others

Post on 13-Sep-2020

3 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

The Cerebral Perfusion Index

(CPI):

Developing a Novel Model of Cerebral

Perfusion in the Intensive Care Unit

Jasmine Khan

MD/PhD Student

Queen’s University

Page 2: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

Cerebral Perfusion Monitoring Today

● Functional Magnetic Resonance Imaging (fMRI)

● Xenon-enhanced Computed Tomography (XeCT)

● CT Perfusion Monitoring

● Transcranial Doppler (TCD)

● Intracranial Pressure (ICP) Monitoring

● Near-infrared Spectroscopy (NIRS)

Non-invasive ContinuousTool

Page 3: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

Wood et al., 2017 Adapted from Scheeran et al., 2019Wood et al., 2017 Adapted from Scheeran et al., 2019

rSO

2(%

)How can we use pre-existing tools to provide a more

comprehensive view of cerebral perfusion?

Page 4: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

CPI

Regional Cerebral

Oxygenation (rSO2)

Time spent with disturbed

cerebral autoregulation

Time + distance away from

optimal blood pressure (MAPopt)

Page 5: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

Acknowledgements

● Dr. Gord Boyd

● Dr. Michael Wood

● Dr. Kevin Lee

● Miranda Hunt

● Tracy Boyd

● Dr. David Maslove

● Dr. John Muscedere

● Dr. Stephen Scott

● Dr. Jill Jacobson

● Dr. Ian Ball

● Dr. Marat Slessarev

● Eileen Campbell

● Athena Ovsenek

● Dr. Shane English

● Rebecca Porteous

● Irene Watpool

● Maya Halevy

Page 6: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

Supplementary- Cerebral Autoregulation Curve

Page 7: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation

Supplementary- Determining MAPopt

1

2

3

Page 8: The Cerebral Perfusion Index (CPI) 2019 Jasm… · Dr. Kevin Lee Miranda Hunt ... Dr. Shane English Rebecca Porteous Irene Watpool Maya Halevy. Supplementary- Cerebral Autoregulation