Transcranial Doppler Sonography in Pediatric Neurocritical Care A Review of Clinical Applications and Case Illustrations in the Pediatric Intensive Care Unit

被引：30

作者：

LaRovere, Kerri L. ^{[1
,2
]}

O'Brien, Nicole F. ^{[3
,4
]}

机构：

[1] Boston Childrens Hosp, Dept Neurol, Boston, MA 02115 USA

[2] Harvard Univ, Sch Med, Boston, MA USA

[3] Nationwide Childrens Hosp, Dept Pediat, Div Pediat Crit Care Med, Columbus, OH USA

[4] Ohio State Univ, Columbus, OH 43210 USA

来源：

JOURNAL OF ULTRASOUND IN MEDICINE | 2015年 / 34卷 / 12期

关键词：

central nervous system infections; cerebrovascular disease/stroke; Doppler sonography; extracorporeal membrane oxygenation; neurosonology; pediatric intensive care unit; pediatric ultrasound; sonography; transcranial; traumatic brain injury; TRAUMATIC BRAIN-INJURY; CEREBRAL-BLOOD-FLOW; SICKLE-CELL-DISEASE; SEVERE HEAD-INJURY; INTRACRANIAL-PRESSURE; PERFUSION-PRESSURE; SUBARACHNOID HEMORRHAGE; PULSATILITY INDEX; CEREBROVASCULAR RESPONSE; NONINVASIVE ASSESSMENT;

D O I：

10.7863/ultra.15.02016

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Transcranial Doppler sonography is a noninvasive, real-time physiologic monitor that can detect altered cerebral hemodynamics during catastrophic brain injury. Recent data suggest that transcranial Doppler sonography may provide important information about cerebrovascular hemodynamics in children with traumatic brain injury, intracranial hypertension, vasospasm, stroke, cerebrovascular disorders, central nervous system infections, and brain death. Information derived from transcranial Doppler sonography in these disorders may elucidate underlying pathophysiologic characteristics, predict outcomes, monitor responses to treatment, and prompt a change in management. We review emerging applications for transcranial Doppler sonography in the pediatric intensive care unit with case illustrations from our own experience.

引用

页码：2121 / 2132

页数：12

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