Refining an Automated Transcranial Doppler System for the Detection of Vasospasm after Traumatic Brain Injury

2013 ◽  
Author(s):  
Pierre D. Mourad
2013 ◽  
Vol 71 (10) ◽  
pp. 802-806 ◽  
Author(s):  
Almir Ferreira de Andrade ◽  
Matheus Schmidt Soares ◽  
Gustavo Cartaxo Patriota ◽  
Alessandro Rodrigo Belon ◽  
Wellingson Silva Paiva ◽  
...  

Objective Intracranial hypertension (IH) develops in approximately 50% of all patients with severe traumatic brain injury (TBI). Therefore, it is very important to identify a suitable animal model to study and understand the pathophysiology of refractory IH to develop effective treatments. Methods We describe a new experimental porcine model designed to simulate expansive brain hematoma causing IH. Under anesthesia, IH was simulated with a balloon insufflation. The IH variables were measured with intracranial pressure (ICP) parenchymal monitoring, epidural, cerebral oximetry, and transcranial Doppler (TCD). Results None of the animals died during the experiment. The ICP epidural showed a slower rise compared with parenchymal ICP. We found a correlation between ICP and cerebral oximetry. Conclusion The model described here seems useful to understand some of the pathophysiological characteristics of acute IH.


2018 ◽  
Vol 35 (2) ◽  
pp. 314-322 ◽  
Author(s):  
Frederick A. Zeiler ◽  
Danilo Cardim ◽  
Joseph Donnelly ◽  
David K. Menon ◽  
Marek Czosnyka ◽  
...  

2014 ◽  
Vol 20 (2) ◽  
pp. 153-160 ◽  
Author(s):  
Pierre Bouzat ◽  
Mauro Oddo ◽  
Jean-François Payen

2006 ◽  
Vol 34 ◽  
pp. A141
Author(s):  
Juan A Calderon ◽  
Luis Espinosa-Sierra ◽  
Felipe J Perez-Rada ◽  
Fernando CastillejaLeal ◽  
Jose L Chavez-Trevino ◽  
...  

2010 ◽  
Vol 14 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Enrico Sorrentino ◽  
Karol P. Budohoski ◽  
Magdalena Kasprowicz ◽  
Peter Smielewski ◽  
Basil Matta ◽  
...  

2002 ◽  
Vol 144 (11) ◽  
pp. 1141-1149 ◽  
Author(s):  
H. van Santbrink ◽  
J. W. Schouten ◽  
E. W. Steyerberg ◽  
C. J. J. Avezaat ◽  
A. I. R. Maas

Author(s):  
A Gomez ◽  
L Froese ◽  
AS Sainbhi ◽  
C Batson ◽  
FA Zeiler

Background: Disruption in cerebrovascular reactivity following traumatic brain injury (TBI) is a known phenomenon that may hold prognostic value. Transcranial Doppler (TCD) has been employed to evaluate cerebrovascular reactivity following injury utilizing a continuous time-series approach. Methods: A systematically conducted scoping review of the literature on the association of continuous time-domain TCD based indices of cerebrovascular reactivity, with outcomes following moderate and severe TBI was performed. Multiple databases were searched from inception to November 2020 for relevant articles. Results: Thirty-six relevant articles were identified. There was significant evidence supporting an association with continuous time-domain TCD based indices and functional outcomes following TBI. Physiologic parameters such as intracranial pressure, cerebral perfusion pressure, Carbon Dioxide (CO2) reactivity as well as more established indices of cerebrovascular reactivity have all been associated with these TCD based indices. The literature has been concentrated in a few centres and is further limited by the lack of multivariate analysis. Conclusions: There is a substantial body of evidence that cerebrovascular reactivity as measured by time-domain TCD based indices have prognostic utility following TBI. The literature supports some associations between these indices and cerebral physiologic parameters. Further validation in multi-institution studies is required before these indices can be widely adopted clinically.


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