Intensive care medicine
The most recent articles from:
Intensive Care Med
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Intensive care medicine · Dec 2006
Letter Historical ArticleHistorical perspective of the word "sepsis".
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Intensive care medicine · Dec 2006
Review Meta AnalysisTranscranial Doppler ultrasonography to confirm brain death: a meta-analysis.
Barbiturate therapy or hypothermia precludes proper diagnosis of brain death either clinically or by EEG. Specific intracranial flow patterns indicating cerebral circulatory arrest (CCA) can be visualized by transcranial Doppler ultrasonography (TCD). The aim of this study was to assess the validity of TCD in confirming brain death. ⋯ CCA by TCD in the anterior and posterior circulation predicted fatal brain damage in all patients; therefore, TCD can be used to determine the appropriate moment for angiography. Further research is needed to demonstrate that CCA by TCD on repeated examination can also predict brain death in all patients.