Skip to main content
SpringerLink
Log in

Die Bedeutung der transkraniellen Dopplersonographie als nichtinvasives Untersuchungsverfahren in Anästhesie und Intensivmedizin

  • Chapter
Book cover Neuromonitoring in Anästhesie und Intensivmedizin

Part of the book series: Klinische Anästhesiologie und Intensivtherapie ((KAI,volume 46))

Zusammenfassung

Der zerebrale Blutfluß (CBF) kann, speziell unter den Bedingungen von Trauma, Operation oder Intensivtherapie, unerwartet oder gar paradox verändert sein. Schon früh wurde der Wunsch geäußert [7] den CBF möglichst rasch, nichtinvasiv, fortlaufend, regionsspezifisch, ubiquitär anwendbar und sofort wiederholbar messen zu können. Die Messung des CBF ist wegen Invasivität, radioaktiver Substanzen und wegen des hohen Aufwands bislang jedoch kein klinisches Routineverfahren geworden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 84.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Aaslid R, Markwalder TM, Nornes H (1982) Nonivasive transcranial Doppier ultrasound recording of flow velocity in basal cerebral arteries. J Neurosurg 57: 769–774

    Article  PubMed  CAS  Google Scholar 

  2. Aaslid R, Huber P, Nornes H (1984) Evaluation of cerebrovascular spasm with transcranial Doppler ultrasound. J Neurosurg 60: 37–41

    Article  PubMed  CAS  Google Scholar 

  3. Ahlgren I, Aronsen KF, Nylander G, Trägardh B (1969) Cerebral angiography of the dog during fluothane and diethylether anaesthesia. Vasc Surg 3: 25–29

    PubMed  CAS  Google Scholar 

  4. Brass LM, Pavlakis S, Prohovnik I, Mohr JP (1987) Transcranial Doppler analysis of blood flow: Relationship to HCT, with rCBF Correlation. Stroke 18: 285

    Google Scholar 

  5. Chan KH, Dearden NM, Miller JD (1991) Multimodality monitoring of intracranial pressure therapy after severe brain injury. Abstracts Intracranial Pressure VIII: 135

    Google Scholar 

  6. Chan KH, Miller JD, Dearden NM, Andrews PJD, Midgley S (1992) The effect of changes in cerebral perfusion pressure upon middle cerebral artery blood flow velocity and jugular bulb venous oxygen saturation after severe brain injury. J Neurosurg 77: 55–61

    Article  PubMed  CAS  Google Scholar 

  7. Christensen MS (1974) Measurement of cerebral perfusion. In: Feldman SA, Leigh JM, Spierdijk J (eds) Measurement in anaesthesia. Leiden Univ Press, Leiden, pp 170–182

    Chapter  Google Scholar 

  8. Cunitz G, Beverungen M, Schregel W (1987) Verlauf von intrakraniellem Druck und Flowgeschwindigkeit in basalen Hirnarterien bei Lagerungswechseln von Patienten mit zerebralen Läsionen. Anaesthesist 36: 347

    Google Scholar 

  9. Dahl A, Russell D, Nyberg-Hansen R, Rootwelt K (1991) Effect of nitroglycerin on cerebral circulation measured by Transcranial Doppler and SPECT. Stroke 20: 1733–1736

    Article  Google Scholar 

  10. Dorrance DE, Neil-Dwyer G (1988) The effect of repeat cigarette smoking on cerebral blood flow. In: Abstracts 2nd Intern. Conference on Transcranial Doppler Sonography, Salzburg

    Google Scholar 

  11. Edelmann M, Ringelstein EB (1985) Intraoperatives Monitoring der Flußgeschwindigkeit der Arteria cerebri media (ACM) während Carotis-Desobliteration mittels der transkraniellen Doppler-Sonographie (TCD). Angio 7: 298–317

    Google Scholar 

  12. Halsey JH, McDowell HA, Gelmon S, Morawetz RB (1989) Blood velocity in the middle cerebral artery and regional cerebral blood flow during carotid endarterectomy. Stroke 20: 53–57

    Article  PubMed  CAS  Google Scholar 

  13. Harders AG, Gilsbach JM (1987) Time course of blood velocity changes related to vasospasm in the circle of Willis measured by transcranial Doppler ultrasound. J Neurosurg 66: 718–728

    Article  PubMed  CAS  Google Scholar 

  14. Hassler W, Chioffi F (1989) CO2-reactivity of cerebral vasospasm after aneurysmal subarachnoid haemorrhage. Acta Neurochir 98: 167–175

    Article  CAS  Google Scholar 

  15. Hassler W, Steinmetz H, Gawlowski J (1988) Transcranial Doppler ultrasonography in raised intracranial pressure and in intracranial circulatory arrest. J Neurosurg 68: 745–751

    PubMed  CAS  Google Scholar 

  16. Heidsieck CH, Simon RS, Bradac GB, Dramburg M (1976) Der Einfluß unterschiedlicher Ventilationsgrößen unter Narkosebedingungen auf die Zerebralgröße im Karotisangio-gramm. Anaesthesist 25: 464–469

    PubMed  CAS  Google Scholar 

  17. Heistad DD, Marcus ML, Abbound FM (1978) Role of large arteries in regulation of cerebral blood flow in dogs. J Clin Invest 62: 761–768

    Article  PubMed  CAS  Google Scholar 

  18. Huber P, Handa J (1967) Effect of contrast material, hypercapnia, hyperventilation, hypertonic glucose and papaverine on the diameter of the cerebral arteries. Angiographic determination in man. Invest Radiol 2: 17–32

    Article  PubMed  CAS  Google Scholar 

  19. Jensen NF, Todd MM, Kramer DJ, Leonard PA, Warner DS (1992) A comparison of the vasodilating effects of halothane and isoflurane on the isolated rabbit basilar artery with and without intact endothelium. Anesthesiology 76: 624–634

    Article  PubMed  CAS  Google Scholar 

  20. Klingerhöfer J, Sander D (1991) Doppler CO2 test as an indicator of cerebral vasoreactivity and prognosis in severe intracranial hemorrhages. Stroke 23: 962–966

    Article  Google Scholar 

  21. Klingelhöfer J, Conrad B, Benecke R, Sander D, Markakis E (1988) Evaluation of intracranial pressure from transcranial Doppler studies in cerebral disease. J Neurol 235: 159–162

    Article  PubMed  Google Scholar 

  22. Klingelhöfer J, Sander D, Holzgraefe M, Bischoff C, Conrad B (1991) Cerebral vasospasm evaluated by Transcranial Doppler Ultrasonography at different intracranial pressures. J Neurosurg 75: 752–758

    Article  PubMed  Google Scholar 

  23. Kontos HA, Wei EP, Navari RM, Levasseur JE, Rosenblum WI, Patterson JL (1978) Responses of cerebral arteries and arterioles to acute hypotension and hypertension. Am J Physiol 234:H371-H383

    Google Scholar 

  24. Lang J (1984) Über eine Doppelung der A. cerebri media und die A. cerebri media accessoria. J Hirnforsch 25: 21–27

    PubMed  CAS  Google Scholar 

  25. Linden J van der, Casimir-Ahn H (1991) When do cerebral embolies appear during open heart operations? A Transcranial Doppler study. Ann Thorac Surg 51: 237–241

    Article  PubMed  Google Scholar 

  26. Lundar T, Lindegaard KF, Fraysaker T, Aaslid R, Wiberg J, Nornes H (1985) Cerebral perfusion during nonpulsatile cardiopulmonary bypass. Ann Thorac Surg 40: 144–150

    Article  PubMed  CAS  Google Scholar 

  27. Lundberg N, Cronquist S, Kjällquist A (1986) Clinical investigations on interrelations between intracranial pressure and intracranial hemodynamics. Prog Brain Res 30: 69–75

    Article  Google Scholar 

  28. Magun JG (1970) The effect of pharmacologically increased blood pressure on brain circulation. Z Neurol 204: 107–134

    Article  Google Scholar 

  29. Markwalder TM, Grolimund P, Seiler RW, Roth F, Aaslid R (1984) Dependency of blood flow velocity in the middle cerebral artery on endtidal carbon dioxide partial pressure — A Transcranial Doppler study. J Cerebral Blood Flow Metabol 4: 368–372

    Article  CAS  Google Scholar 

  30. Müller HR, Lampl Y, Haefele M (1991) Ein TCD-Steh-Test zur klinischen Prüfung der zerebralen Autoregulation. Ultraschall in Med 12: 218–221

    Article  Google Scholar 

  31. Nordström CH, Messeter K, Sundbärg G, Schalen W, Werner M, Ryding E (1988) Cerebral blood flow, vasoreactivity, and oxygen consumption during barbiturate therapy in severe traumatic brain lesions. J Neurosurg 68: 424–431

    Article  PubMed  Google Scholar 

  32. Parma A, Massei R, Pesenti A et al. (1989) Cerebral blood flow velocity and cerebrospinal fluid pressure after single bolus of propofol. Neurol Res 11: 150–152

    PubMed  CAS  Google Scholar 

  33. Ringelstein EB, Zeumer H, Korbmacher G, Wulfinghoff E (1985) Transkranielle Dopplerso-nographie der hirnversorgenden Arterien: Atraumatische Diagnose von Stenosen und Verschlüssen des Karotissiphons und der A. cerebri media. Nervenarzt 56: 296–306

    PubMed  CAS  Google Scholar 

  34. Schregel W, Beverungen M, Cunitz G (1988) Transkranielle Doppler-Sonographie: Halothan steigert die Flußgeschwindigkeit in der Arteria cerebri media. Anaesthesist 37: 305–310

    PubMed  CAS  Google Scholar 

  35. Schregel W, Geißler C, Schäfermeyer H, Cunitz G (1991) Diameters of large cerebral arteries — relevant for patients with brain disorders? Eur J Anaesthesiology 8: 321–323

    Google Scholar 

  36. Schregel W, Schäfermeyer H, Müller C, Geißler C, Bredenkötter U, Cunitz G (1992) Einfluß von Halothan, Alfentanil und Propofol auf Flußgeschwindigkeiten, „Gefäßquerschnitt‟ und „Volumenfluß‟ in der A. cerebri media. Anaesthesist 41: 21–26

    PubMed  CAS  Google Scholar 

  37. Schregel W, Geißler C, Winking M, Schäfermeyer H, Cunitz G (1994) Transcranial Doppler monitoring during induction of anesthesia: effects of propofol, thiopental, and hyperventilation in patients with large malignant brain tumors. J Neurosurg Anesthesiol (in press)

    Google Scholar 

  38. Spencer MP, Thomas GJ, Nicholls SC, Sauvage LR (1990) Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial Doppler Ultrasonography. Stroke 21: 415–423

    Article  PubMed  CAS  Google Scholar 

  39. Thiel A, Russ W, Kaps M, Marck GP, Hempelmann G (1988) Die transkranielle Dopplerso-nographie als intraoperatives Überwachungsverfahren. Anaesthesist 37: 256–260

    PubMed  CAS  Google Scholar 

  40. Thiel A, Russ W, Marck GP, Kaps M, Stermann WA (1988) Transkranielle Doppler-Sonographie (TCD) und somato-sensorisch evozierte Potentiale (SEP) bei desobliterierenden Eingriffen an der Karotisgabel. Anaesthesist 37: 226

    Google Scholar 

  41. Thiel A, Zickmann B, Zimmermann R, Hempelmann G (1992) Transcranial Doppier sonography: Effects of halothane, enflurane and isoflurane on blood flow velocity in the middle cerebral artery. Brit J Anaesth 68: 388–393

    Article  PubMed  CAS  Google Scholar 

  42. Wahlgren WG, Hellström G, Lindquist C, Rudehill A (1988) The effect of sympathetic stimulation in man on the MCA flow velocity. In: Abstracts 2nd International Conference on Transcranial Doppler Sonography, Salzburg

    Google Scholar 

  43. Weyland A, Stephan H, Kazmaier S, Grüne F, Sonntag H (1990) Ermöglicht die transkranielle Dopplersonographie quantitative Aussagen über die Hirndurchblutung während kardio-chirurgischer Eingriffe? Anaesthesist 40: 566

    Google Scholar 

  44. Widder B (1985) Der CO2-Test zur Erkennung hämodynamisch kritischer Karotisstenosen mit der transkraniellen Doppler-Sonographie. Dtsch Med Wochenschr 110: 1553

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. W. Schregel
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

E. Rügheimer M. Dinkel

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Schregel, W. (1994). Die Bedeutung der transkraniellen Dopplersonographie als nichtinvasives Untersuchungsverfahren in Anästhesie und Intensivmedizin. In: Rügheimer, E., Dinkel, M. (eds) Neuromonitoring in Anästhesie und Intensivmedizin. Klinische Anästhesiologie und Intensivtherapie, vol 46. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78752-2_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78752-2_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-57611-2

  • Online ISBN: 978-3-642-78752-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation