This podcast explores the use of transcranial doppler in traumatic brain injury, including its role in assessing vasospasm, midline shift, and elevated intracranial hemorrhage. It discusses the findings of studies that demonstrate the potential of Doppler ultrasound in evaluating cerebral blood flow and its correlation with neurologic outcomes. The podcast also delves into calculations and indices in transcranial doppler and how they can indicate brain perfusion issues. Overall, it offers valuable insights into the non-invasive measurement and prognostic implications of transcranial doppler in traumatic brain injury.
Transcranial Doppler can be used in the acute care setting to assess changes in cerebral blood flow after traumatic brain injury, potentially providing important prognostic information.
Transcranial Doppler is a valuable tool that can be used in various clinical contexts, including assessing ventricular size, detecting intracranial hemorrhage, and evaluating cerebral perfusion in patients with vasosvazza, head injury, or stroke.
Deep dives
Transcranial Doppler in Traumatic Brain Injury
This podcast episode explores the use of transcranial Doppler (TCD) in traumatic brain injury (TBI) patients. TCD is a non-invasive method to assess cerebral blood flow in the ICU. The study discussed in this episode focused on the correlation between TCD measurements and neurologic outcomes in TBI patients. The results showed that patients with a more severe TBI had abnormal diastolic velocities and higher pulsatility indexes as measured by TCD. These measurements were found to be statistically significant and correlated with poor neurologic outcomes. However, more research is needed to validate these findings and assess the feasibility of using TCD in acute care settings.
The Potential of Transcranial Doppler
This podcast episode highlights the potential of transcranial Doppler (TCD) in assessing cerebral blood flow in various clinical contexts. TCD has traditionally been used in neuro ICU settings to evaluate vasospasm in stroke and head injured patients. The episode discusses how TCD can also be employed in pediatrics to assess ventricular size and detect intracranial hemorrhage. Furthermore, the episode emphasizes the importance of TCD in acute care settings, where patients with vasosvazza, head injury, or stroke require cerebral perfusion evaluations. TCD provides a safe and accessible approach, facilitating early detection of abnormalities in cerebral blood flow and prognostication in traumatic brain injuries.
Implications of Transcranial Doppler
This podcast episode delves into the implications of transcranial Doppler (TCD) in the assessment of traumatic brain injuries (TBIs). The discussed study focused on the correlation between TCD measurements and neurologic outcomes in TBI patients. Results showed that TCD measurements, such as diastolic velocity and the Ryan Gosling Pulsatility Index, were significantly associated with worse neurologic outcomes. The sensitivity and specificity of these TCD measurements for predicting poor prognosis were impressive, reaching up to 91% and 89%, respectively. Although further research is required to validate these findings, they offer a promising avenue for enhancing prognostication and decision-making in the management of TBI patients.
Transcranial doppler has been a developing interest to point-of-care ultrasound enthusiasts. While it has been a mainstay for certain inpatient indications, only relatively recently have some bold souls proposed application in the acute care setting. These uses include assessing for midline shift, vasospasm, elevated intracranial hemorrhage. This article explores an even more novel idea - using it in the early period after a traumatic brain injury to assess resultant changes in cerebral blood flow. Perhaps this could provide a non-invasive measurement with important prognostic implications.
https://www.ultrasoundgel.org/107
https://bit.ly/2O04ycd
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