Article

The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage.

Division of Neurosciences Critical Care, Departments of Anesthesiology Critical Care Medicine, Johns Hopkins University School of Medicine, Meyer 8-140, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Neurosurgery clinics of North America (impact factor: 1.73). 04/2010; 21(2):291-303. DOI:10.1016/j.nec.2009.10.010
Source: PubMed

ABSTRACT Transcranial Doppler ultrasonography (TCD) is a tool employed by the neurosurgeon and neurointensivist in the management of vasospasm in the intensive care unit after aneurysmal subarachnoid hemorrhage. A review of the current indications, monitoring parameters, indices, and relevance of modern TCD technology is provided, as well as algorithms for the use of TCD ultrasonography in the management of patients with subarachnoid hemorrhage. Other current uses of TCD ultrasonography are also discussed in the setting of neurocritical care.

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    Matthias Klein, Uwe Koedel, Thomas Pfefferkorn, Grete Zeller, Bianca Woehrl, Hans-Walter Pfister
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Keywords

aneurysmal subarachnoid hemorrhage
 
current indications
 
intensive care unit
 
monitoring parameters
 
neurocritical care
 
neurosurgeon
 
patients
 
subarachnoid hemorrhage
 
TCD ultrasonography
 
Transcranial Doppler ultrasonography
 
vasospasm