000008061 001__ 8061
000008061 005__ 20240507121007.0
000008061 0247_ $$2DOI$$a10.6083/ft848r215
000008061 037__ $$aETD
000008061 245__ $$aTranscranial doppler for vasospasm monitoring: a quality improvement project to understand  provider utilization in an urban neurointensive care unit
000008061 260__ $$bOregon Health and Science University
000008061 269__ $$a2020
000008061 336__ $$aFinal project
000008061 502__ $$bD.N.P.
000008061 520__ $$aDelayed cerebral ischemia (DCI) is a common complication associated with subarachnoid hemorrhage (SAH) and is strongly correlated with significant morbidity and mortality. In order to prevent the deleterious effects of this pathology, a strategy of early detection and intervention is vital. There are a variety of imaging options that are employed to achieve these objectives. These include computed tomographic (CT) angiography (CTA), CT perfusion (CTP), transcranial doppler ultrasound (TCD), and digital subtraction angiography (DSA). According to the consensus opinion, each imaging method has strengths and weaknesses. For example, CTA and CTP are minimally invasive but require radiation exposure and contrast dosing. TCD is lower in cost and invasiveness but lacks specificity and DSA although the most invasive--is considered the gold standard for both detection and treatment. At the setting in question, there did not appear to be a consistent utilization of these imaging modalities for vasospasm monitoring.
000008061 542__ $$fIn copyright - single owner
000008061 650__ $$aIntracranial Hemorrhages$$032304
000008061 650__ $$aSubarachnoid Hemorrhage$$026500
000008061 650__ $$aBrain Ischemia$$016367
000008061 650__ $$aUltrasonography, Doppler, Transcranial$$030085
000008061 650__ $$aUltrasonography$$027551
000008061 650__ $$aVasospasm, Intracranial$$032305
000008061 691__ $$aSchool of Nursing$$041370
000008061 7001_ $$aPersing, Margaret$$uOregon Health and Science University$$041354
000008061 8564_ $$965f44110-aa72-46a0-b256-ba2cac7b4604$$s3270423$$uhttps://digitalcollections.ohsu.edu/record/8061/files/Persing.Margaret.2020.pdf
000008061 905__ $$a/rest/prod/ft/84/8r/21/ft848r215
000008061 909CO $$ooai:digitalcollections.ohsu.edu:8061$$pstudent-work
000008061 980__ $$aTheses and Dissertations