Table 1.
Autoregulation Index | Modalities Correlated | Assumptions | Practical Considerations |
---|---|---|---|
Mean velocity index4 | Transcranial Doppler and CPP | Middle cerebral artery flow velocity is a surrogate of CBF. | Requires a prolonged, noninvasive, continuous transcranial Doppler signal. |
PRx5 | ICP and ABP | Slow waves of ICP are the result of vascular volume changes caused by dynamic changes in resistance vessels. | Requires invasive ICP monitor. |
ORx6 | Licox and CPP | Local oxygen tension is a surrogate of CBF (ie, CMRO2 and HCT are constant). | Requires invasive Licox monitor. |
COx7 | Near-infrared spectroscopy and CPP | Tissue oxyhemoglobin saturation is a surrogate of CBF (ie, CMRO2 and HCT are constant). | Requires a noninvasive monitor of cerebral oximetry that excludes scalp, cranial, and dural hemoglobin. |
LDx9 | LD and CPP | Local cortical red cell flux is a surrogate of CBF. | Requires invasive LD monitor. |
Licox indicates parenchymal oxygen tension monitor; CMRO2, cerebral metabolic rate of oxygen; and HCT, hematocrit.