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Cranial Ultrasound for Intracerebral Pathology

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Basic Ultrasound Skills “Head to Toe” for General Intensivists

Part of the book series: Lessons from the ICU ((LEICU))

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Abstract

Point-of-care ultrasound has become a critical diagnostic tool in the evaluation of dyspnea or shock to tease out the etiology and differential diagnosis, as well as a monitoring tool to guide further management including fluid resuscitation and de-resuscitation. With increasing recognition of neuro-monitoring in critically ill patients, more and more point-of-care applications of ultrasound are being explored in the evaluation and management of patients at risk for acute brain injury. A multitude of studies over the last few decades have explored the use of cranial ultrasound through B-mode ultrasonography, as well as Doppler indications for assessing cerebral hemodynamics, but the easy availability of computed tomography scans as well as angiography did not allow widespread use of ultrasound. With evolving complexities in critical care management involving advanced hemodynamic support and a focus on increasing access to health care in austere environments, an increasing need is being recognized to evaluate patients for intracerebral pathology when conventional modes of neuroimaging are not accessible. This chapter describes the use of cranial ultrasound B-mode ultrasonography for the evaluation of intracerebral pathology relevant to general intensive care.

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Authors and Affiliations

  1. Neurocritical Care, Department of Neurology, Atrium Wake Forest School of Medicine, Winston Salem, NC, USA

    Aarti Sarwal

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Editors and Affiliations

  1. Anesthesia and Intensive Care, Ospedale Policlinico San Martino, Genova, Italy

    Chiara Robba

  2. Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Rozzano, Milano, Italy

    Antonio Messina

  3. Department of Critical Care, King’s College Hospital, London, UK

    Adrian Wong

  4. Intensive Care Medicine Unit, Hôpital Ambroise-Paré, Boulogne-Billancourt, France

    Antoine Vieillard-Baron

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Sarwal, A. (2023). Cranial Ultrasound for Intracerebral Pathology. In: Robba, C., Messina, A., Wong, A., Vieillard-Baron, A. (eds) Basic Ultrasound Skills “Head to Toe” for General Intensivists. Lessons from the ICU. Springer, Cham. https://doi.org/10.1007/978-3-031-32462-8_18

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