Transcranial Doppler after traumatic brain injury: is there a role?

Détails

ID Serval
serval:BIB_67F5316F88C9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Transcranial Doppler after traumatic brain injury: is there a role?
Périodique
Current Opinion in Critical Care
Auteur⸱e⸱s
Bouzat P., Oddo M., Payen J.F.
ISSN
1531-7072 (Electronic)
ISSN-L
1070-5295
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
20
Numéro
2
Pages
153-160
Langue
anglais
Notes
Publication types: Journal Article ; Document Type: Review
Résumé
PURPOSE OF REVIEW: To present the practical aspects of transcranial Doppler (TCD) and provide evidence supporting its use for the management of traumatic brain injury (TBI) patients.
RECENT FINDINGS: TCD measures systolic, mean, and diastolic cerebral blood flow (CBF) velocities and calculates the pulsatility index from basal intracranial arteries. These variables reflect the brain circulation, provided there is control of potential confounding factors. TCD can be useful in patients with severe TBI to detect low CBF, for example, during intracranial hypertension, and to assess cerebral autoregulation. In the emergency room, TCD might complement brain computed tomography (CT) scan and clinical examination to screen patients at risk for further neurological deterioration after mild-to-moderate TBI.
SUMMARY: The diagnostic value of TCD should be incorporated into other findings from multimodal brain monitoring and CT scan to optimize the bedside management of patients with TBI and help guide the choice of appropriate therapies.
Pubmed
Web of science
Création de la notice
25/04/2014 17:32
Dernière modification de la notice
20/08/2019 15:23
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