Neural Control of Inflammation: Implications for Perioperative and Critical Care.
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.
Duke Scholars
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Related Subject Headings
- Reflex
- Perioperative Care
- Nervous System
- Inflammation
- Humans
- Critical Care
- Animals
- Anesthesiology
- 3202 Clinical sciences
- 1103 Clinical Sciences
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Reflex
- Perioperative Care
- Nervous System
- Inflammation
- Humans
- Critical Care
- Animals
- Anesthesiology
- 3202 Clinical sciences
- 1103 Clinical Sciences