Cerebral Circulation and Resuscitation

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Abstract
SUMMARY: After reviewing the literature mainly with a view to elucidate the effect of drugs commonly used in cardiac resuscitation on CBF, attention is drawn to the frequent occurrence of obstruction or stenosis in the extracranial cerebral vessels. The known effects of head positioning on cerebral circulation are also briefly reviewed and some preliminary results of the authors are reported. Backward tilt with rotation of the head may be expected to have an adverse effect on CBF. Early intubation may be desirable, expecially in the older age groups, whenever feasible in order to maintain an open airway without having to tilt the head backward.