Clinical applications of point-of-care ultrasound in brain injury: a narrative review
- PMID: 35001377
- DOI: 10.1111/anae.15604
Clinical applications of point-of-care ultrasound in brain injury: a narrative review
Abstract
The use of point-of-care ultrasound has increased considerably over the last two decades. It has become a readily available, non-invasive bed-side modality for the rapid diagnosis and management of patients in various settings. Point-of-care ultrasound for assessing the heart, lung, abdomen, airway and vascular systems is now well established. Transcranial Doppler ultrasound for assessing cerebral blood flow has been in use for many years. In recent years, brain ultrasonography has been shown to be a powerful tool in the rapid bed-side assessment of cerebral haemodynamics and structural pathology. Brain ultrasound has been shown to be useful in both the emergency department and neurocritical care setting for the non-invasive assessment of raised intracranial pressure, cerebral autoregulation and diagnosis of intracranial haematoma and other space-occupying lesions. Point-of-care ultrasound is an important alternative technique to routine imaging and invasive monitoring techniques, and results are comparable. Competence is easily attainable without formal radiology training. With technological advancement, applications for the use of brain ultrasound continue to grow. This review discusses the clinical use of point-of-care ultrasound in the diagnosis and management of brain injury.
Keywords: brain injury; intracranial pressure; optic nerve sheath diameter; point-of-care ultrasound; transcranial Doppler.
© 2022 Association of Anaesthetists.
Similar articles
-
Point-of-care brain ultrasound and transcranial doppler or color-coded doppler in critically ill neonates and children.Eur J Pediatr. 2024 Mar;183(3):1059-1072. doi: 10.1007/s00431-023-05388-0. Epub 2023 Dec 19. Eur J Pediatr. 2024. PMID: 38112802 Review.
-
Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review.Intensive Care Med. 2019 Jul;45(7):913-927. doi: 10.1007/s00134-019-05610-4. Epub 2019 Apr 25. Intensive Care Med. 2019. PMID: 31025061
-
How to use cerebral ultrasound in the ICU.Minerva Anestesiol. 2020 Mar;86(3):327-340. doi: 10.23736/S0375-9393.19.13852-7. Epub 2020 Jan 8. Minerva Anestesiol. 2020. PMID: 31922373 Review.
-
Applications of Transcranial Color-Coded Sonography in the Emergency Department.J Ultrasound Med. 2017 Jun;36(6):1251-1266. doi: 10.7863/ultra.16.04050. Epub 2017 Feb 27. J Ultrasound Med. 2017. PMID: 28240783 Review.
-
Transcranial Doppler ultrasonography in neurological surgery and neurocritical care.Neurosurg Focus. 2019 Dec 1;47(6):E2. doi: 10.3171/2019.9.FOCUS19611. Neurosurg Focus. 2019. PMID: 31786564 Review.
Cited by
-
Ultrasound assessment is useful for evaluating balloon volume of resuscitative endovascular balloon occlusion of the aorta.Eur J Trauma Emerg Surg. 2023 Dec;49(6):2479-2484. doi: 10.1007/s00068-023-02309-6. Epub 2023 Jul 10. Eur J Trauma Emerg Surg. 2023. PMID: 37430175
-
Bedside ultrasonographic evaluation of optic nerve sheath diameter for monitoring of intracranial pressure in traumatic brain injury patients: a cross sectional study in level II trauma care center in India.Acute Crit Care. 2024 Feb;39(1):155-161. doi: 10.4266/acc.2023.01172. Epub 2024 Feb 23. Acute Crit Care. 2024. PMID: 38476068 Free PMC article.
References
-
- Dussik K. [On the possibility of using ultrasound waves as a diagnostic aid]. In German. Z Neurol Psychiatr 1942; 174: 153-68. https://www.ob-ultrasound.net/dussik_1942_paper.pdf (accessed 19/10/2021).
-
- Aaslid R, Markwalder TM, Nornes H. Noninvasive transcranial Doppler ultrasound recording of flow velocity in basal cerebral arteries. Journal of Neurosurgery 1982; 57: 769-74.
-
- Robba C, Goffi A, Geeraerts T, et al. Brain ultrasonography: methodology, basic and advanced principles and clinical applications. A narrative review. Intensive Care Medicine 2019; 45: 913-27.
-
- Bertuetti R, Gritti P, Pelosi P, Robba C. How to use cerebral ultrasound in the ICU. Minerva Anestesiologica 2020; 86: 327-40.
-
- Marinoni M, Ginanneschi A, Forleo P, Amaducci L. Technical limits in transcranial Doppler recording: inadequate acoustic windows. Ultrasound in Medicine and Biology 1997; 23: 1275-7.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources