Hot topics Flashcards
What is normal CMRO2?
It’s the cerebral metabolic rate, and it is normally 3.5 mL/100g/min or 50 mL of o2/min in resting state
Increase in CMR also increases ____
CBF. Mechanism not understood.
Who uses more O2? Gray or white matter?
Gray
___ and ___ are most sensitive to brain injury
Hippocampus and cerebellum
Cerebral function is dependent on a continuous supply of :
Glucose.
Is insulin needed to get glucose into the brain?
No. crosses BBB on its own via facilitated diffusion
If the brain can’t get glucose it’ll use what?
Lactate, and then ketones during times of starvation
What do Volatiles do to CMRO2?
Dose dependent decrease in CMR
N20 on CMRO2?
Increases
isoelectric EEG can cause a ___% reduction in CMRo2
`60%
IV anesthetics and CMR:
all decrease it EXCEPT ketamine!
Hypothermia and CMRo2
for each degree decrease in temp, there’s a 6-7%drop in CMRO2