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Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review


Robba, Chiara; Goffi, Alberto; Geeraerts, Thomas; Cardim, Danilo; Via, Gabriele; Czosnyka, Marek; Park, Soojin; Sarwal, Aarti; Padayachy, Llewellyn; Rasulo, Frank; Citerio, Giuseppe (2019). Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review. Intensive Care Medicine, 45(7):913-927.

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.

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.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Cardiocentro Ticino
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:July 2019
Deposited On:22 Jan 2020 13:05
Last Modified:16 Feb 2020 07:06
Publisher:Springer
ISSN:0342-4642
OA Status:Closed
Publisher DOI:https://doi.org/10.1007/s00134-019-05610-4
PubMed ID:31025061

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