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How do concerning TCD trends affect your management of a clinically stable patient with aneurysmal subarachnoid hemorrhage?

2 Answers
Mednet Member
Mednet Member
Neurology · Duke University School of Medicine

Yes, in the sense that heighten alertness to neurological deterioration (even subtle stuff) and is less likely to downgrade bed status. No, in the sense that there's no particular intervention.

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Mednet Member
Mednet Member
Neurology · Santa Barbara Cottage Hospital

I have been relying on TCD to manage clinically stable SAH patients for years. There are several management interventions that I might make in a patient who is showing significant vasospasm on TCD but otherwise seems clinically stable. These interventions include keeping a patient in ICU for frequen...

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