Assessment of Frontal Bone Window for Transcranial Doppler Among Acute Brain Injured Patients in Intensive Care Units: a Prospective Study.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Brain Injury
- Sponsor
- University Hospital, Montpellier
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- measures of ACA flow velocities threw the frontal bone window
- Status
- Terminated
- Last Updated
- 8 years ago
Overview
Brief Summary
Transcranial doppler (TCD) is an established tool for monitoring flows in intracranial cerebral arteries. Its use is recommanded in the last guidelines on traumatic brain injury. The temporal bone window (TBW) is limited in evaluating flow in the anterior cerebral arteries (ACA) because of an unfavorable insonation angle. Thereby TCD could be unfit to detect a segmental lesion on the anterior cerebral arteries (ACA).
The frontal bone window (FBW) is a promising approach in evaluating flows in the ACA. However, the utility of the FBW for patients with acute brain injury (ABI) in ICU has not been yet determined.
The goal of the present study is to determine the rate of detection of the ACA by using the FBW in patients with ABI in ICU.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Membership in a health insurance scheme
- •Patients with an acute cerebral pathology
- •Hospitalized patients in a supportive care unit of Montpellier University Hospital
- •Be able to benefit from transcranial doppler within 3 days of admission
Exclusion Criteria
- •Clinical suspicion of encephalic death
- •Known allergy to ultrasound gel
Outcomes
Primary Outcomes
measures of ACA flow velocities threw the frontal bone window
Time Frame: up to 72 hours