학술논문

Updated Information for Neuro-anesthesia:The Indication of Transcranial Doppler and Transcranial Color Flow Imaging for Neuro-anesthesia and Intensive Care / 経頭蓋ドプラ,経頭蓋カラードプラ法と神経麻酔集中治療
Document Type
Journal Article
Source
日本臨床麻酔学会誌 / THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA. 2020, 40(2):162
Subject
Cerebral autoregulation
Cerebral vasospasm
Increased intracranial pressure
Transcranial Doppler
Transcranial color flow imaging
経頭蓋カラードプラ法
経頭蓋ドプラ
脳血流自己調節能
脳血管攣縮
頭蓋内圧亢進
Language
Japanese
ISSN
0285-4945
1349-9149
Abstract
Transcranial Doppler(TCD)and transcranial color flow imaging(TCCFI)can measure intracranial arterial blood flow velocity using low-frequency ultrasound(2 MHz). TCCFI but not TCD can roughly image the brain structure using B mode. In addition, TCCFI can visualize blood flow in the anterior cerebral artery, middle cerebral artery, internal carotid artery, and posterior cerebral artery using color mode and can measure blood flow velocity using Doppler mode with angle correction. Both TCD and TCCFI can evaluate cerebral autoregulation and carbon dioxide reactivity as well as changes in cerebral blood flow velocity in response to changes in pathological conditions such as cerebral vasospasm and increased intracranial pressure. Although TCD and TCCFI are not widely used in Japan, noninvasive bedside monitoring using these modalities can provide abundant information for treatment of patients.