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

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...

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.

Agree with the prior answers. TCDs are a valuable monitoring tool but do have limitations. Skull anatomy affects the acoustic window, and posterior circulation velocities tend to be less reliable than anterior circulation data. Results are also operator-dependent, and a skilled technologist will yie...