Neural Control of Inflammation: Implications for Perioperative and Critical Care.

Journal Article (Review)

Inflammation and immunity are regulated by neural reflexes. Recent basic science research has demonstrated that a neural reflex, termed the inflammatory reflex, modulates systemic and regional inflammation in a multiplicity of clinical conditions encountered in perioperative medicine and critical care. In this review, the authors describe the anatomic and physiologic basis of the inflammatory reflex and review the evidence implicating this pathway in the modulation of sepsis, ventilator-induced lung injury, postoperative cognitive dysfunction, myocardial ischemia-reperfusion injury, and traumatic hemorrhage. The authors conclude with a discussion of how these new insights might spawn novel therapeutic strategies for the treatment of inflammatory diseases in the context of perioperative and critical care medicine.

Full Text

Duke Authors

Cited Authors

  • Steinberg, BE; Sundman, E; Terrando, N; Eriksson, LI; Olofsson, PS

Published Date

  • May 2016

Published In

Volume / Issue

  • 124 / 5

Start / End Page

  • 1174 - 1189

PubMed ID

  • 26982508

Electronic International Standard Serial Number (EISSN)

  • 1528-1175

International Standard Serial Number (ISSN)

  • 0003-3022

Digital Object Identifier (DOI)

  • 10.1097/aln.0000000000001083

Language

  • eng