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Transcranial Doppler Sonography in Pediatric Neurocritical Care
Author(s) -
LaRovere Kerri L.,
O'Brien Nicole F.
Publication year - 2015
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/ultra.15.02016
Subject(s) - medicine , transcranial doppler , neurointensive care , traumatic brain injury , doppler sonography , vasospasm , hemodynamics , stroke (engine) , pathophysiology , intensive care medicine , radiology , cardiology , anesthesia , subarachnoid hemorrhage , psychiatry , mechanical engineering , engineering
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.