Transcranial Doppler in pediatric emergency and intensive care unit: a case series and literature review

Francisco Abecasis , Vitor Oliveira , Chiara Robba , Marek Czosnyka

Abstract

Purpose Transcranial Doppler (TCD) has been used for more than 30 years in clinical practice. Although adult intensive care is relatively well covered, pediatric cases are still underrepresented. We intend to review a series of pediatric cases where TCD was determinant in clinical decisions and a literature review on this topic. Methods We describe cases with different pathologies where TCD had an important role in clinical management of the patients. We discuss TCD utility and potential role both in the emergency department and the intensive care unit. Results Five patients with different neurologic insults are presented. TCD was useful in the identification of intracranial hypertension in traumatic brain injury, hydrocephalus and central nervous system infection; identification of decreased cerebral perfusion pressure in hypovolemic shock and the diagnosis of impending cerebral circulatory arrest in a child with meningococcal septicemia. We discuss how TCD can be used in emergency and intensive care settings, reviewing relevant literature and our own experience. Conclusions Non-invasive testing using TCD can aid clinical decisions. More widespread use of this technique will allow for better care of children with neurologic insults.
Author Francisco Abecasis - [Faculdade de Medicina, Universidade de Lisboa]
Francisco Abecasis,,
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, Vitor Oliveira - [Faculdade de Medicina, Universidade de Lisboa]
Vitor Oliveira,,
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, Chiara Robba - [Ospedale Policlinico San Martino]
Chiara Robba,,
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, Marek Czosnyka (FEIT / PE)
Marek Czosnyka,,
- The Institute of Electronic Systems
Journal seriesChilds Nervous System, ISSN 0256-7040, (A 20 pkt)
Issue year2018
Vol34
No8
Pages1465-1470
Publication size in sheets0.5
Keywords in EnglishTranscranial Doppler; Traumatic brain injury; Intracranial hypertension; Neuromonitoring
ASJC Classification2728 Clinical Neurology; 2700 General Medicine; 2735 Pediatrics, Perinatology, and Child Health
DOIDOI:10.1007/s00381-018-3877-8
URL https://link.springer.com/article/10.1007%2Fs00381-018-3877-8
Languageen angielski
Score (nominal)20
ScoreMinisterial score = 20.0, 29-04-2019, ArticleFromJournal
Ministerial score (2013-2016) = 25.0, 26-03-2019, ArticleFromJournal
Publication indicators Scopus Citations = 0; WoS Citations = 0; Scopus SNIP (Source Normalised Impact per Paper): 2016 = 0.913; WoS Impact Factor: 2017 = 1.235 (2) - 2017=1.325 (5)
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* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
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