[Transcranial Doppler for the monitoring of gas embolism in neurosurgical operations in the sitting position].
The risk of venous air embolism is significant in neurosurgical procedures performed in the sitting position. Monitoring for venous air embolism, therefore, is crucial and can be approached from several aspects. The most sensitive generally applicable clinical method for the detection of intracardiac gas is based on an application of the Doppler principle. The Authors describe the technique used to adapt a transcranial Doppler (TC 2-64 B, EME, Germany), and a probe designed to record the Doppler signal from intracranial arteries (Transcran FP 2, EME, Germany), as precordial Doppler in order to monitor venous air embolism in neurosurgical procedures performed in the sitting position.
Tommasino
C
C
Cattedra di Anestesiologia e Rianimazione, Università degli Studi di Milano.
Beretta
L
L
Dell'Acqua
A
A
Rizzardi
R
R
Ferrari da Passano
C
C
D001921:Brain / Q000601:surgery*; D004453:Echoencephalography / Q000295:instrumentation / Q000379:methods; D004618:Embolism, Air / Q000000981:diagnostic imaging*; D006801:Humans; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D011187:Posture
Doppler transcranico per il monitoraggio dell'embolia gassosa negli interventi neurochirurgici in posizione seduta.