Cerebral perfusion in invasive meningococcal disease

doi:10.1136/bmj.39619.510405.3A

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Peter J Flegg, consultant physician

¹Blackpool Victoria Hospital, Blackpool FY3 8NR

dr.flegg{at}bfwh.nhs.uk

I am surprised that the SIGN guidelines (and therefore this summary of them1) make no mention of the importance of adequate cerebral perfusion in those with invasive meningococcal disease. Cerebral perfusion pressure is the difference between the mean arterial pressure (which is usually low from the associated hypotensive shock) and …