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Neuro-ICU: Cerebral Hemodynamics and Transcranial Doppler (TCD/TCCS) Waveform Interpretation in the Most Common Neurocritical Pathologies

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Neurosonology in Critical Care

Abstract

In this chapter, we will discuss the utility of transcranial Doppler to assess cerebral hemodynamics and how to apply it to understand the cerebral blood flow changes in acute brain injury. First, we will start by reviewing important cerebral hemodynamics principles such as cerebrovascular resistance, adequate cerebral blood flow, and cerebral autoregulation. We will finalize this chapter by assessing the interpretation of transcranial Doppler in aneurysmal subarachnoid hemorrhage, intracranial hypertension, and impending brain death.

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Authors and Affiliations

  1. Departments of Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    L. Luciano Ponce Mejia

  2. Anesthesiology & Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Bahattin B. Ergin

  3. Department of Neurology, Anesthesiology and Critical Care Medicine, The Johns Hopkins School of Medicine, Baltimore, MD, USA

    Lucía Rivera Lara

Authors
  1. L. Luciano Ponce Mejia
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  2. Bahattin B. Ergin
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  3. Lucía Rivera Lara
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Corresponding author

Correspondence to Lucía Rivera Lara .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Buenos Aires, Buenos Aires, Argentina

    Camilo N. Rodríguez

  2. Stroke Unit & Neurosonology Lab, University of Padua School of Medicine, Padova, Italy

    Claudio Baracchini

  3. Department of Critical Care and Anesthesiology, Fundación Valle del Lili, Cali, Colombia

    Jorge H. Mejia-Mantilla

  4. Department of Clinical Neurosciences Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK

    Marek Czosnyka

  5. Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Jose I Suarez

  6. President of Hungarian Neurological Society, Department of Neurology, Clinical Center Debrecen University, Debrecen, Hungary

    László Csiba

  7. Intensive Care Unit, Clinics Hospital, Universidad de la Republica School of Medicine, Montevideo, Uruguay

    Corina Puppo

  8. Center for Neurological Vascular Diagnostics, Munich, Germany

    Eva Bartels

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Mejia, L.L.P., Ergin, B.B., Rivera Lara, L. (2022). Neuro-ICU: Cerebral Hemodynamics and Transcranial Doppler (TCD/TCCS) Waveform Interpretation in the Most Common Neurocritical Pathologies. In: Rodríguez, C.N., et al. Neurosonology in Critical Care . Springer, Cham. https://doi.org/10.1007/978-3-030-81419-9_17

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  • DOI: https://doi.org/10.1007/978-3-030-81419-9_17

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