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

Details

Serval ID
serval:BIB_67F5316F88C9
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Transcranial Doppler after traumatic brain injury: is there a role?
Journal
Current Opinion in Critical Care
Author(s)
Bouzat P., Oddo M., Payen J.F.
ISSN
1531-7072 (Electronic)
ISSN-L
1070-5295
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
20
Number
2
Pages
153-160
Language
english
Notes
Publication types: Journal Article ; Document Type: Review
Abstract
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
Create date
25/04/2014 16:32
Last modification date
20/08/2019 14:23
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