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Penggunaan Trans Cranial Doppler untuk Deteksi Perubahan Hemodinamik Serebral pada Pasien Kritis

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Cerebral haemodyamic changes is very common in patients with acute neurological insut. Neither angiographic or neuro-imaging studies can be performed in ICU setting. Case series from Bethesda TCD registry. The demographic and clinical data were obtained for all patients. The criteria of TCD finding was based on the standarized measures. TCD examination was performed using TD-DOP 9000 equipmen­t with a 2-MHz probe for the examination of intracranial circulati­on. There were 234 TCD examina­tion during the study period. Eighteen (7, 6%) of the TCD studies were performed in ICU setting. The cinical diagnosis is ischemic stroke (5 patients), post craniotomy for trauma (3 patients), hemorrh­agic stroke (5 patients), and metoblic/ anoxic/ toxic encephalopathy (5 patient­s). The TCD finding­s are stenosis (6 patients), hipoperfusion (3 patients), increase ICP (3 patients), vasospasm (2 patient­s), and mixed (4 patients). Mobile TCD examinations can give valuable information about cerebr­al haemodynamic in critically patients. The examination can be performed in ICU setting safely for unconcious, bedriden, and ventilated patients.

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Series Title

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Call Number

Medika Jurnal Kedokteran Indonesia, xxxvii (2) 201

Publisher

Jakarta : PT. Grafiti Medika Pres., 2011

Collation

3p,

Language

ISBN/ISSN

0216-0910

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Edition

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Subject(s)

HEMODYNAMIC PHENOMENA

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