Department of Anaesthesiology, 28006Universidad del Valle, Cali, Colombia.
Department of Intensive Medicine, 16268University Hospital La Paz-Cantoblanco-Carlos III, Madrid, Spain.
J Intensive Care Med. 2021 Jun;36(6):627-634. doi: 10.1177/0885066620905796. Epub 2020 Mar 10.
Ultrasonography is part of the multimodal monitoring of the neurocritical patient. Through transcranial color Doppler ultrasound, carotid-color Doppler ultrasound, and ocular ultrasound it is possible to diagnose and monitor a multitude of pathological conditions, such as cerebrovascular events, vasospasm, Terson syndrome, carotid atheromatosis, and brain death. Furthermore, these techniques enable the monitoring of the intracranial pressure, the cerebral perfusion pressure, and the midline deviation, which allows us to understand the patient's neurocritical pathology at their bedside, in a noninvasive way. Although none of these tools have yet been shown to improve patient prognosis, the dissemination of knowledge and management of neurovascular ultrasonography could significantly improve the comprehensive management of neurocritical patients.
超声检查是神经危重症患者多模态监测的一部分。通过经颅彩色多普勒超声、颈动脉彩色多普勒超声和眼部超声，可以诊断和监测多种病理情况，如脑血管事件、血管痉挛、Terson 综合征、颈动脉粥样硬化和脑死亡。此外，这些技术还可以监测颅内压、脑灌注压和中线偏移，使我们能够在床边以非侵入性的方式了解患者的神经危重症病理。尽管这些工具都没有显示出可以改善患者预后，但神经血管超声知识的普及和管理可以显著改善神经危重症患者的综合管理。
