Transcranial sonography: practical use in the intensive care unit

Aleksandra Baska; Krystian Sporysz-Janiec; Monika Figura; Paweł Andruszkiewicz; Mateusz Zawadka

doi:10.5114/ait.2024.146640

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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5/2024
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abstract:

Review article

Transcranial sonography: practical use in the intensive care unit

Aleksandra Baska

¹

,

Krystian Sporysz-Janiec

¹

,

Monika Figura

²

,

Paweł Andruszkiewicz

¹

,

Mateusz Zawadka

¹

2nd Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Warsaw, Poland
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland

Anaesthesiol Intensive Ther 2024; 56, 5: 267–276

DOI: https://doi.org/10.5114/ait.2024.146640

Online publish date: 2025/01/17

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Brain ultrasonography has emerged as a valuable diagnostic and monitoring tool in intensive care, complementing other point-of-care techniques. Transcranial colour-coded duplex (TCCD) offers a rapid, non-invasive, repeatable, and cost-effective bedside method that has gained significant interest among intensivists. TCCD enables visualisation of the circle of Willis and adjacent cerebral arteries, supporting its use in various critical scenarios, including vasospasm following subarachnoid haemorrhage, elevated intracranial pressure, hydrocephalus, acute ischaemic stroke, cerebral circulatory arrest, and certain intracranial haematomas. This manuscript aims to equip intensivists with foundational knowledge to integrate TCCD effectively into their diagnostic arsenal, covering essential Doppler physics, transcranial insonation techniques, and clinical applications of TCCD within intensive care settings.

keywords:

Transcranial sonography: practical use in the intensive care unit

Aleksandra Baska 1 , Krystian Sporysz-Janiec 1 , Monika Figura 2 , Paweł Andruszkiewicz 1 , Mateusz Zawadka 1

TCD, intensive care, ONSD, transcranial Doppler, TCCD, optic nerve sheath diameter, brain sonography

Aleksandra Baska

¹

,

Krystian Sporysz-Janiec

¹

,

Monika Figura

²

,

Paweł Andruszkiewicz

¹

,

Mateusz Zawadka

¹