Blanco Pablo, Abdo-Cuza Anselmo
Ecodiagnóstico-Centro de Diagnóstico por Imágenes, 3272, 50 St., 7630, Necochea, Argentina.
Centro de Investigaciones Médico-Quirúrgicas, 11-13 and 216 St., Siboney, 12100, Havana, Cuba.
J Ultrasound. 2018 Mar;21(1):1-16. doi: 10.1007/s40477-018-0282-9. Epub 2018 Feb 10.
Multimodality monitoring is a common practice in caring for neurocritically ill patients, and consists mainly in clinical assessment, intracranial pressure monitoring and using several imaging methods. Of these imaging methods, transcranial Doppler (TCD) is an interesting tool that provides a non-invasive, portable and radiation-free way to assess cerebral circulation and diagnose and follow-up (duplex method) intracranial mass-occupying lesions, such as hematomas and midline shift. This article reviews the basics of TCD applied to neurocritical care patients, offering a rationale for its use as well as tips for practitioners.
多模态监测是神经危重症患者护理中的常见做法，主要包括临床评估、颅内压监测以及使用多种成像方法。在这些成像方法中，经颅多普勒（TCD）是一种有趣的工具，它提供了一种非侵入性、便携且无辐射的方式来评估脑循环，并诊断和随访（双功超声法）颅内占位性病变，如血肿和中线移位。本文回顾了应用于神经危重症患者的TCD的基础知识，阐述了其使用的基本原理，并为从业者提供了一些技巧。
