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- Title
Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review.
- Authors
Robba, Chiara; Goffi, Alberto; Geeraerts, Thomas; Cardim, Danilo; Via, Gabriele; Czosnyka, Marek; Park, Soojin; Sarwal, Aarti; Padayachy, Llewellyn; Rasulo, Frank; Citerio, Giuseppe
- Abstract
Brain ultrasonography can be used to evaluate cerebral anatomy and pathology, as well as cerebral circulation through analysis of blood flow velocities. Transcranial colour-coded duplex sonography is a generally safe, repeatable, non-invasive, bedside technique that has a strong potential in neurocritical care patients in many clinical scenarios, including traumatic brain injury, aneurysmal subarachnoid haemorrhage, hydrocephalus, and the diagnosis of cerebral circulatory arrest. Furthermore, the clinical applications of this technique may extend to different settings, including the general intensive care unit and the emergency department. Its increasing use reflects a growing interest in non-invasive cerebral and systemic assessment. The aim of this manuscript is to provide an overview of the basic and advanced principles underlying brain ultrasonography, and to review the different techniques and different clinical applications of this approach in the monitoring and treatment of critically ill patients.
- Subjects
CEREBRAL vasospasm; DUPLEX ultrasonography; ULTRASONIC imaging; BRAIN injuries; HOSPITAL emergency services; CEREBRAL circulation
- Publication
Intensive Care Medicine, 2019, Vol 45, Issue 7, p913
- ISSN
0342-4642
- Publication type
journal article
- DOI
10.1007/s00134-019-05610-4