Hemodynamics, fluids & transfusion

Effects of phenylephrine on systemic and cerebral circulations in humans: a systematic review with mechanistic explanations

AnaesthesiaPublished Systematic review

Study context

Population
Humans receiving phenylephrine (awake and anaesthetised)
Outcome
Phenylephrine-induced changes in BP, CO, cerebral blood flow and cerebral tissue oxygen saturation
Methodological detailsmechanistic explanations
  • Mechanistic explanations

Pooled result

As reported in the abstract

Correlation of CO change with BP change, awake
r = −0.54, p = 0.09
Correlation of CO change with BP change, anaesthetised
r = −0.55, p = 0.007
Correlation of cerebral blood flow change with BP change, awake
r = 0.65, p = 0.002
Correlation of cerebral blood flow change with BP change, anaesthetised
r = 0.80, p = 0.003
Correlation of cerebral tissue oxygen saturation change with BP change, awake
r = −0.72, p = 0.03
Correlation of cerebral tissue oxygen saturation change with BP change, anaesthetised
r = −0.24, p = 0.48

Further pooled results

Awake vs anaesthetised

No evidence of a significant difference in CO, cerebral blood flow or cerebral tissue oxygen saturation

Bolus vs infusion

No evidence of a significant difference in effect on systemic and cerebral circulations

Original publication

Effects of phenylephrine on systemic and cerebral circulations in humans: a systematic review with mechanistic explanations. Anaesthesia. Published 10 November 2023. doi:10.1111/anae.16172

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.