Document Detail


Transcranial Doppler ultrasonography: a diagnostic tool of increasing utility.
MedLine Citation:
PMID:  18784478     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: Since its introduction in 1982, transcranial Doppler ultrasonography has become an important diagnostic and monitoring tool in patients with surgical disease. It has applications in the perioperative period, as well as in the intensive care unit. It is therefore appropriate for the anesthesiologist to maintain an understanding of its current utility. RECENT FINDINGS: Transcranial Doppler has an established role in diagnosing cerebral vasospasm in patients with aneurysmal subarachnoid hemorrhage and for guiding transfusion therapy in children with sickle cell disease. It has application in the preoperative evaluation of patients with cerebrovascular disease, as well as that of an intraoperative monitor in carotid endarterectomy and carotid stenting. It is useful for detecting right-to-left shunts in settings in which transesophageal echocardiography is not desirable. Its value in settings such as traumatic brain injury, hepatic failure, and migraine headache has yet to be fully clarified. SUMMARY: Although there are several settings in which transcranial Doppler has well established usefulness, there are many more in which it is likely valuable, such as traumatic brain injury, ischemic stroke, and fulminant hepatic failure. Further research is needed in these fields to elucidate the exact role for transcranial Doppler.
Authors:
M Sean Kincaid
Related Documents :
3342728 - Submassive hepatic necrosis associated with the use of progabide: a gaba receptor agonist.
17898558 - Alfuzosin-induced acute liver injury.
15616168 - Pathological laughing and crying following traumatic brain injury.
22815098 - The cost-effectiveness of treating chronic hepatitis b patients in a median endemic and...
15154608 - Identification of germinal center b cells in blood from hiv-infected drug-naive individ...
3300228 - A reverse enzyme immunoassay for detection of vespula spp. sensitivity.
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in anaesthesiology     Volume:  21     ISSN:  1473-6500     ISO Abbreviation:  Curr Opin Anaesthesiol     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-11     Completed Date:  2009-01-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8813436     Medline TA:  Curr Opin Anaesthesiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  552-9     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington, USA. kincaid@u.washington.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Brain Death / ultrasonography
Carotid Artery Diseases / prevention & control,  ultrasonography*
Central Nervous System Diseases / prevention & control,  ultrasonography*
Continental Population Groups
Evidence-Based Medicine
Humans
Liver Failure / prevention & control,  ultrasonography*
Treatment Outcome
Ultrasonography, Doppler, Transcranial*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Update on the propofol infusion syndrome in ICU management of patients with head injury.
Next Document:  Multimodality monitoring of the central nervous system using motor-evoked potentials.