Kasapoğlu Umut Sabri, Haliloğlu Murat, Bilgili Beliz, Cinel İsmail
Department of Anaesthesiology and Reanimation, Division of Intensive Care, Marmara University School of Medicine, İstanbul, Turkey.
Turk J Anaesthesiol Reanim. 2019 Oct;47(5):367-374. doi: 10.5152/TJAR.2019.82258. Epub 2019 Sep 1.
Ancillary tests can be used for the diagnosis of brain death in cases wherein uncertainty exists regarding the neurological examination and apnoea test cannot be performed. Transcranial Doppler ultrasonography (TCD) is a useful, valid, non-invasive, portable, and repeatable ancillary test for the confirmation of brain death. Despite its varying sensitivity and specificity rates with regard to the diagnosis of the brain death, its clinical use has steadily increased in the intensive care unit because of its numerous superior properties. The use of TCD as an ancillary test for the diagnosis of brain death and cerebral circulatory arrest is discussed in the current review.
在神经学检查存在不确定性且无法进行 apnea 试验的情况下，辅助检查可用于脑死亡的诊断。经颅多普勒超声（TCD）是一种有用、有效、非侵入性、便携且可重复的辅助检查，用于确认脑死亡。尽管其在脑死亡诊断方面的敏感性和特异性率有所不同，但由于其众多优越特性，其在重症监护病房的临床应用稳步增加。本综述讨论了 TCD 作为脑死亡和脑循环停止诊断的辅助检查的应用。
