Use of Transcranial Doppler (TCD) Ultrasound in the Neurocritical Care Unit

被引：33

作者：

Kalanuria, Atul ^{[1
]}

Nyquist, Paul A. ^{[1
]}

Armonda, Rocco A. ^{[2
]}

Razumovsky, Alexander ^{[3
]}

机构：

[1] Johns Hopkins Univ Hosp, Div Neurocrit Care, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21287 USA

[2] Walter Reed Natl Mil Med Ctr, Bethesda, MD 20889 USA

[3] Sentient NeuroCare Serv, Hunt Valley, MD 21031 USA

来源：

NEUROSURGERY CLINICS OF NORTH AMERICA | 2013年 / 24卷 / 03期

关键词：

Transcranial Doppler; Neurocritical care unit; Vasospasm; Stroke; Intracranial hypertension; ANEURYSMAL SUBARACHNOID HEMORRHAGE; CEREBRAL-BLOOD-FLOW; ACUTE ISCHEMIC-STROKE; PATENT FORAMEN OVALE; CAROTID-ENDARTERECTOMY; HEMODYNAMIC-CHANGES; BRAIN-DEATH; PULSATILITY INDEX; ASYMPTOMATIC EMBOLIZATION; VERTEBROBASILAR VASOSPASM;

D O I：

10.1016/j.nec.2013.02.005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Transcranial Doppler (TCD) is a portable device that uses a handheld 2-MHz transducer. It is most commonly used in subarachnoid hemorrhage where cerebral blood flow velocities in major intracranial blood vessels are measured to detect vasospasm in the first 2 to 3 weeks. TCD is used to detect vasospasm in traumatic brain injury and post-tumor resection, measurement of cerebral autoregulation and cerebrovascular reactivity, diagnosis of acute arterial occlusions in stroke, screening for patent foramen ovale and monitoring of emboli. It can be used to detect abnormally high intracranial pressure and for confirmation of total cerebral circulatory arrest in brain death.

引用

页码：441 / +

页数：17

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