Pediatric Transcranial Doppler (TCD) Z Score Calculator
This curriculum discusses the use of neurosonography, including transcranial doppler (TCD), assessment of midline shift by B-mode ultrasound, and assessment of optic nerve sheath diameter (ONSD), for neuromonitoring in critically ill children. It provides an overview of the physiological basics, technical principles, and clinical applications of those neurosonography tools in the pediatric intensive care unit, with a focus on the performance and interpretation of point-of-care (POCUS) TCD.
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Learning Objectives
Describe the use of transcranial doppler (TCD) as a neuromonitoring tool in the PICU.
Define other applications of neurosonography including ultrasound-midline shift (MLS) and optic nerve sheath diameter (ONSD).
List the advantages, limitations, and caveats of those modalities.
Lessons
Neurosonography as a Neuromonitoring Tool in the PICU
Author(s)
Virginie Plante, MD, MSc, FRCPC
Pediatric Intensivist | Centre Hospitalier Universitaire de Sherbrooke
Assistant Professor, Department of Pediatrics, Division of Pediatric Critical Care | Universitaire de Sherbrooke
Kerri LaRovere, MD, RPNI, MMSc
Medical Director, Neurocritical Care Section | Boston Children's Hospital
Program Director, Pediatric Neurocritical Care Fellowship – Neurology Track | Boston Children's Hospital
Assistant Professor of Neurology | Harvard Medical School
Course Director(s)
Virginie Plante, MD, MSc, FRCPC
Pediatric Intensivist | Centre Hospitalier Universitaire de Sherbrooke
Assistant Professor, Department of Pediatrics, Division of Pediatric Critical Care
Universitaire de Sherbrooke
Senior Fellow | Boston Children's Hospital
Kerri LaRovere, MD, RPNI, MMSc Chief, Neurocritical Care Program in Neurology Program Director, Pediatric Neurocritical Care Fellowship, Neurology Track Section Break Boston Children's Hospital Assistant Professor of Neurology Harvard Medical School
Citation
Plante V. Pediatric Transcranial Doppler (TCD) Z Score Calculator. 03/2024. Online Interactive Tool. OPENPediatrics. https://learn.openpediatrics.org/learn/courses/5583/pediatric-transcranial-doppler-tcd-z-score-calculator.