Neuroanesthesia & neurocritical care

A noninvasive method for assessing optimal cerebral perfusion pressure

Crit CarePublished Retrospective analysis of a multicentre prospective observational study

Main finding · Agreement of MAPopt derived from noninvasive P2/P1 ratio vs invasive PRxResult — go to the resultr 0.905

Authors' conclusion

The noninvasive P2/P1 ratio, serving as a marker of intracranial compliance, may effectively and accurately infer the optimal systemic mean arterial pressure.

Study context

Population
ICU patients with severe acute brain injury requiring invasive intracranial pressure (ICP) monitoring (68% severe TBI, 15% spontaneous SAH)
Participants
114 patients
Exposure
Noninvasive P2/P1 ratio vs invasive PRx for determining MAPopt
Outcome
Agreement between MAPopt derived from invasive PRx and from noninvasive P2/P1 ratio
Methodological detailsmethod comparison
  • Method comparison

Main finding

As reported in the abstract

Agreement of MAPopt derived from noninvasive P2/P1 ratio vs invasive PRx

r

0.905

P < 0.0001

Bland-Altman mean difference between the two methods (good agreement)
+2.00 mmHg
Bland-Altman 95% limits of agreement
−9.87 mmHg to +13.86 mmHg

Observational data: associations, not effects.

Original publication

A noninvasive method for assessing optimal cerebral perfusion pressure. Crit Care. Published 11 March 2026. doi:10.1186/s13054-026-05926-w

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