Open AccessPractice Recommendations for Transcranial Doppler Ultrasonography in Critically Ill Children in the Pediatric Intensive Care Unit: A Multidisciplinary Expert Consensus Statement
Author(s) -
Nicole O’Brien,
Karin ReuterRice,
Mark S. Wainwright,
Summer L. Kaplan,
Brian Appavu,
Jennifer Erklauer,
Suman Kumar Ghosh,
Matthew Kirschen,
Brandi Kozak,
Karen Lidsky,
Marlina Lovett,
Amy R. Mehollin-Ray,
Darryl K. Miles,
Craig Press,
Dennis Simon,
Robert C. Tasker,
Kerri L. LaRovere
Publication year - 2020
Publication title -
journal of pediatric intensive care
Language(s) - English
Resource type - Journals
eISSN - 2146-4618
pISSN - 2146-4626
DOI - 10.1055/s-0040-1715128
Subject(s) - medicine , multidisciplinary approach , documentation , intensive care medicine , intensive care , delphi method , intensive care unit , pediatric intensive care unit , medical emergency , transcranial doppler , radiology , social science , statistics , mathematics , sociology , computer science , programming language
Transcranial Doppler ultrasonography (TCD) is being used in many pediatric intensive care units (PICUs) to aid in the diagnosis and monitoring of children with known or suspected pathophysiological changes to cerebral hemodynamics. Standardized approaches to scanning protocols, interpretation, and documentation of TCD examinations in this setting are lacking. A panel of multidisciplinary clinicians with expertise in the use of TCD in the PICU undertook a three-round modified Delphi process to reach unanimous agreement on 34 statements and then create practice recommendations for TCD use in the PICU. Use of these recommendations will help to ensure that high quality TCD images are captured, interpreted, and reported using standard nomenclature. Furthermore, use will aid in ensuring reproducible and meaningful study results between TCD practitioners and across PICUs.