TY  - GEN
N2  - Delayed cerebral ischemia (DCI) is a common complication associated with subarachnoid hemorrhage (SAH) and is strongly correlated with significant morbidity and mortality. In order to prevent the deleterious effects of this pathology, a strategy of early detection and intervention is vital. There are a variety of imaging options that are employed to achieve these objectives. These include computed tomographic (CT) angiography (CTA), CT perfusion (CTP), transcranial doppler ultrasound (TCD), and digital subtraction angiography (DSA). According to the consensus opinion, each imaging method has strengths and weaknesses. For example, CTA and CTP are minimally invasive but require radiation exposure and contrast dosing. TCD is lower in cost and invasiveness but lacks specificity and DSA although the most invasive--is considered the gold standard for both detection and treatment. At the setting in question, there did not appear to be a consistent utilization of these imaging modalities for vasospasm monitoring.
DO  - 10.6083/ft848r215
DO  - DOI
AB  - Delayed cerebral ischemia (DCI) is a common complication associated with subarachnoid hemorrhage (SAH) and is strongly correlated with significant morbidity and mortality. In order to prevent the deleterious effects of this pathology, a strategy of early detection and intervention is vital. There are a variety of imaging options that are employed to achieve these objectives. These include computed tomographic (CT) angiography (CTA), CT perfusion (CTP), transcranial doppler ultrasound (TCD), and digital subtraction angiography (DSA). According to the consensus opinion, each imaging method has strengths and weaknesses. For example, CTA and CTP are minimally invasive but require radiation exposure and contrast dosing. TCD is lower in cost and invasiveness but lacks specificity and DSA although the most invasive--is considered the gold standard for both detection and treatment. At the setting in question, there did not appear to be a consistent utilization of these imaging modalities for vasospasm monitoring.
AD  - Oregon Health and Science University
T1  - Transcranial doppler for vasospasm monitoring: a quality improvement project to understand  provider utilization in an urban neurointensive care unit
DA  - 2020
AU  - Persing, Margaret
L1  - https://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
PB  - Oregon Health and Science University
PY  - 2020
ID  - 8061
L4  - https://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
KW  - Intracranial Hemorrhages
KW  - Subarachnoid Hemorrhage
KW  - Brain Ischemia
KW  - Ultrasonography, Doppler, Transcranial
KW  - Ultrasonography
KW  - Vasospasm, Intracranial
TI  - Transcranial doppler for vasospasm monitoring: a quality improvement project to understand  provider utilization in an urban neurointensive care unit
Y1  - 2020
L2  - https://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
LK  - https://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
UR  - https://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
ER  -