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Critical Care
Published in: Critical Care 1/2020

01-12-2020 | Brain Death | Research Letter

Is there still a place for transcranial Doppler in patients with IABP?

Authors: Juliana R. Caldas, Ronney B. Panerai, Rogério Passos, Ludhmila A. Hajjar

Published in: Critical Care | Issue 1/2020

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Excerpt

Transcranial Doppler (TCD), a relatively inexpensive and noninvasive tool, is often used to identify emboli, stenosis, vasospasm, brain death, and cerebral autoregulation (CA) [1]. When monitoring patients with intra-aortic balloon pump (IABP), the largest study published with TCD did not show neurological complications or deterioration of CA [2], but the occurrence of abnormal reverse cerebral blood flow velocity (CBFV) was not investigated. …
Literature
1.
Robba C, Taccone FS. How I use transcranial Doppler. Crit Care. 2019;23:420.CrossRef
2.
Caldas JR, Panerai RB, Bor-Seng-Shu E, Ferreira GSR, Camara L, Passos RH, et al. Intra-aortic balloon pump does not influence cerebral hemodynamics and neurological outcomes in high-risk cardiac patients undergoing cardiac surgery: an analysis of the IABCS trial. Ann Intensive Care. 2019;9:130.CrossRef
3.
Schachtrupp A, Wrigge H, Busch T, Buhre W, Weyland A. Influence of intra-aortic balloon pumping on cerebral blood flow pattern in patients after cardiac surgery. Eur J Anaesthesiol. 2005;22:165–70.CrossRef
4.
van der Naalt J, Baker AJ. Influence of the intra-aortic balloon pump on the transcranial Doppler flow pattern in a brain-dead patient. Stroke. 1996;27:140–2.CrossRef
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Gao YZ, Zhang M. Effect of intra-aortic balloon pump on reversal of diastolic cerebral flow: deflated too early? Neurocrit Care. 2018;29(2):313–4.
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Grover G, Perera AH, Hamady M, Rudarakanchana N, Barras CD, Singh A, et al. Cerebral embolic protection in thoracic endovascular aortic repair. J Vasc Surg. 2018;68:1656–66.CrossRef
Metadata
Title
Is there still a place for transcranial Doppler in patients with IABP?
Authors
Juliana R. Caldas
Ronney B. Panerai
Rogério Passos
Ludhmila A. Hajjar
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2020
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-03324-4

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