Transcranial Doppler clinical application in the treatment of severe traumatic brain injury

doi:10.3877/cma.j.issn.2095-9141.2018.06.014

Abstract

Abstract:

The clinical monitoring methods of severe traumatic brain injury (sTBI) are mainly physical examination and imaging examination, but these methods can not quickly and effectively diagnose and monitor the pathophysiological process of sTBI. Transcranial Doppler ultrasound (TCD) can measure the blood flow status of the great cerebral artery in a noninvasive and real-time manner, obtain the information of cerebral hemodynamics, and monitor the degree of cerebral stenosis and spasm, identify brain death and evaluate intracranial pressure by analyzing the velocity and direction of cerebral blood flow, the function of vascular self-regulation and the change of distal vascular resistance. This article focuses on the clinical application of TCD in sTBI treatment.

Key words: Severe traumatic brain injury, Transcranial Doppler ultrasound, Intracranial pressure, Brain death

Ruihao Li, Haijun Ren, Boru Hou, Wenzhen Yang, Dengfeng Wang, Xin Xue, Weixin Lu. Transcranial Doppler clinical application in the treatment of severe traumatic brain injury[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2018, 04(06): 374-376.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhsjcswkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-9141.2018.06.014

https://zhsjcswkdzzz.cma-cmc.com.cn/EN/Y2018/V04/I06/374

References 26

[1]	Roozenbeek B, Maas AI, Menon DK. Changing patterns in the epidemiology of traumatic brain injury[J]. Nat Rev Neurol, 2013, 9(4):231-236.
[2]	Popescu C, Anghelescu A, Daia C, et al. Actual data on epidemiological evolution and prevention endeavours regarding traumatic brain injury[J]. J Med Life, 2015, 8(3):272-277.
[3]	惠纪元，龚如，梁玉敏,等.中国颅脑创伤数据库:短期预后因素分析[J].中华神经外科杂志, 2014, 30(1):56-58.
[4]	Purkayastha S, Sorond F. Transcranial Doppler ultrasound: technique and application[J]. Semin Neurol, 2012, 32(4):411-420.
[5]	杨彦龙，常涛，罗涛,等.重型创伤性脑损伤救治多模态监测的研究进展[J].医学综述, 2017, 23(7):1346-1349.
[6]	Babikian VL, Wechsler LR. Transcranial doppler ultrasonography[M]. New York: Springer, 2011: 2543-2543.
[7]	Naqvi J, Yap KH, Ahmad G, et al. Transcranial Doppler ultrasound: a review of the physical principles and major applications in critical care[J]. Int J Vasc Med, 2013, 2013:629378.
[8]	Brandstätter H, Schulz P, Polunic I, et al. Purification and biochemical characterization of functional complement factor H from human plasma fractions[J]. Vox Sang, 2012, 103(3):201-212.
[9]	Bellner J, Romner B, Reinstrup P, et al. Transcranial Doppler sonography pulsatility index (PI) reflects intracranial pressure (ICP)[J]. Surg Neurol, 2004, 62(1):45-51; discussion 51.
[10]	Figaji AA, Zwane E, Fieggen AG, et al. Transcranial Doppler pulsatility index is not a reliable indicator of intracranial pressure in children with severe traumatic brain injury[J]. Surg Neurol, 2009, 72(4):389-394.
[11]	Kawoos U, Mccarron RM, Auker CR, et al. Advances in intracranial pressure monitoring and its significance in managing traumatic brain injury[J]. Int J Mol Sci, 2015, 16(12):28979-28997.
[12]	Thelin EP, Nelson DW, Vehviläinen J, et al. Evaluation of novel computerized tomography scoring systems in human traumatic brain injury: an observational, multicenter study[J]. PLoS Med, 2017, 14(8):e1002368.
[13]	Trabold F, Meyer PG, Blanot S, et al. The prognostic value of transcranial Doppler studies in children with moderate and severe head injury[J]. Intensive Care Med, 2004, 30(1):108-112.
[14]	Wang Y, Duan YY, Zhou HY, et al. Middle cerebral arterial flow changes on transcranial color and spectral Doppler sonography in patients with increased intracranial pressure[J]. J Ultrasound Med, 2014, 33(12):2131-2136.
[15]	李跃群，宋国红，刘尚伟,等.经颅多普勒超声诊断重型颅脑损伤患者脑死亡的应用分析[J].中华行为医学与脑科学杂志, 2016, 25(5):442-445.
[16]	邱彩霞，庄凯，王春育,等.最新循证指南:成人脑死亡的判定[J].中国卒中杂志, 2010, 5(11):925-931.
[17]	Poularas J, Karakitsos D, Kouraklis G, et al. Comparison between transcranial color Doppler ultrasonography and angiography in the confirmation of brain death[J]. Transplant Proc, 2006, 38(5):1213-1217.
[18]	Bederson JB, Connolly ES Jr, Batjer HH, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association[J]. Stroke, 2009, 40(3):994-1025.
[19]	施小燕，李珉.脑血流自动调节功能与最佳脑灌注压[J].中华急诊医学杂志, 2016, 25(12):1223-1225.
[20]	Carney N, Totten AM, O’reilly C, et al. Guidelines for the management of severe traumatic brain injury, fourth edition[J]. Neurosurgery, 2017, 80(1):6-15.
[21]	Honda M, Ichibayashi R, Yokomuro H, et al. Early cerebral circulation disturbance in patients suffering from severe traumatic brain injury (tbi): a xenon ct and perfusion ct study[J]. Neurol Med Chir (Tokyo), 2016, 56(8):501-509.
[22]	Bonds BW, Yang S, Hu PF, et al. Predicting secondary insults after severe traumatic brain injury[J]. J Trauma Acute Care Surg, 2015, 79(1):85-90; discussion 90.
[23]	Koller A, Toth P. Contribution of flow-dependent vasomotor mechanisms to the autoregulation of cerebral blood flow[J]. J Vasc Res, 2012, 49(5):375-389.
[24]	Ract C, Le Moigno S, Bruder N, et al. Transcranial Doppler ultrasound goal-directed therapy for the early management of severe traumatic brain injury[J]. Intensive Care Med, 2007, 33(4):645-651.
[25]	Aries MJ, Czosnyka M, Budohoski KP, et al. Continuous determination of optimal cerebral perfusion pressure in traumatic brain injury[J]. Crit Care Med, 2012, 40(8):2456-2463.
[26]	Le Roux P, Menon DK, Citerio G, et al. Consensus summary statement of the International Multidisciplinary Consensus Conference on Multimodality Monitoring in Neurocritical Care: a statement for healthcare professionals from the Neurocritical Care Society and the European Society of Intensive Care Medicine[J]. Neurocrit Care, 2014, 21 Suppl 2:S1-S26.

Please choose a citation manager

Content to export