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[Some uncommon applications of transcranial Doppler in the intensive care unit].

Authors
  • Alvarez-Fernández, J A
  • Pérez-Quintero, R
Type
Published Article
Journal
Medicina intensiva / Sociedad Española de Medicina Intensiva y Unidades Coronarias
Publication Date
Mar 01, 2009
Volume
33
Issue
2
Pages
97–99
Identifiers
PMID: 19401112
Source
Medline
License
Unknown

Abstract

We present the case of a 64-year old woman with shock related to ischemic colitis associated with paradoxical embolism through a foramen ovale. Some utilities of transcranial Doppler ultra-sonography applied in this case that could have an usual interest in intensive and intermediate care are discussed. These include analysis of the regional distribution of cerebral blood flow, intracranial arterial continuous monitoring for detection of spontaneous microembolisms and injection of microbubbles to detect right to left shunts. The added value of using power M-mode Doppler in transcranial Doppler evaluations is highlighted.

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