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Transcranial Doppler Ultrasonography in Intensive Care

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Echocardiography for Intensivists

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Abstract

Transcranial Doppler (TCD) ultrasonography is a reproducible, affordable, noninvasive tool for studying cerebral hemodynamics at the bedside in intensive care units. Although it is not the gold standard for cerebral blood flow measurements, TCD ultrasonography gives reliable information regarding indirect indexes of cerebral hemodynamics. Common applications in intensive care units are well represented by recording the onset and course of cerebral vasospasm following subarachnoid hemorrhage, as well as by monitoring the hemodynamic effects of increasing intracranial pressure secondary to severe brain injury. By applying strictly defined criteria, TCD ultrasonography is an additional tool for the assessment of brain death.

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Reference

  1. Sarti A (2009) Ecocardiografia per l’intensivista. Springer, Milan

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Further Reading

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  • Newell DW, Aaslid R (1992) Transcranial Doppler. In: Aaslid R, Newell DW (eds) Transcranial Doppler. Raven, New York, pp 9–33

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  • Steiner LA, Andrews PJD, Steiner LA, Andrews PJD (2006) Monitoring the injured brain: ICP and CBF. Br J Anaesth 97:26–38

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  • Wijdicks EFM (2001) The diagnosis of brain death. New Engl J Med 2001(344):1215–1221

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Author information

Authors and Affiliations

  1. UO Emergency Medicine, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova 1, 50123, Florence, Italy

    Simone Cencetti

  2. Intensive Care Unit, Santa Maria Nuova Hospital, Piazza Santa Maria Nuova 1, 50123, Florence, Italy

    Daniele Cultrera

Authors
  1. Simone Cencetti
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  2. Daniele Cultrera
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Corresponding author

Correspondence to Simone Cencetti .

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Editors and Affiliations

  1. Ospedale Santa Maria Nuova, Reparto di Terapia Intensiva, Azienda Sanitaria di Firenze, Piazza S.Maria Nuova 1, Firenze, 50123, Italy

    Armando Sarti

  2. , Dipartimento di Anestesia e Rianimazione, Az. Osp. Ospedali Riuniti di Bergamo, Via Delle Cave 31/c, Bergamo, 24127, Italy

    F. Luca Lorini

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Cencetti, S., Cultrera, D. (2013). Transcranial Doppler Ultrasonography in Intensive Care. In: Sarti, A., Lorini, F. (eds) Echocardiography for Intensivists. Springer, Milano. https://doi.org/10.1007/978-88-470-2583-7_49

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  • DOI: https://doi.org/10.1007/978-88-470-2583-7_49

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2582-0

  • Online ISBN: 978-88-470-2583-7

  • eBook Packages: MedicineMedicine (R0)

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