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Part I Technology, Views and Normal Echo Anatomy |
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1 Principles of Transcranial Doppler Ultrasonography |
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3 | (6) |
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3 | (1) |
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1.2 Transcranial Doppler Ultrasonography |
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4 | (2) |
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1.3 Transcranial Colour-Coded Duplex Ultrasonography |
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6 | (1) |
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7 | (2) |
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7 | (2) |
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2 Basic Anatomy with TCCD and Vessels |
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9 | (12) |
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9 | (1) |
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10 | (4) |
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2.2.1 The Circle of Willis |
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10 | (1) |
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2.2.2 Vascular Anatomy Through the Temporal Window |
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11 | (1) |
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2.2.3 Vascular Anatomy Through the Transorbital Window |
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11 | (1) |
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2.2.4 Vascular Anatomy Through the Suboccipital Window |
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12 | (1) |
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2.2.5 Vascular Anatomy Through the Submandibular Window |
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12 | (1) |
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2.2.6 Sonography of Cerebral Veins and Sinus |
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12 | (2) |
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2.3 Brain Anatomy with Ultrasonography |
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14 | (4) |
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15 | (1) |
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2.3.2 Clinical Implications |
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16 | (2) |
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18 | (3) |
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18 | (3) |
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3 Windows and the Practical Approach: The MOTOr |
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21 | (12) |
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21 | (1) |
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3.2 Anatomy Abnormalities |
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22 | (1) |
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3.3 Measurements and Basic Calculations |
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22 | (1) |
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23 | (1) |
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24 | (5) |
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24 | (1) |
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25 | (1) |
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26 | (2) |
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28 | (1) |
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29 | (1) |
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29 | (4) |
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29 | (4) |
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4 Optic Nerve Sheath Diameter |
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33 | (8) |
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Charles-Henri Houze-Cerfon |
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33 | (1) |
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4.2 Anatomical Background |
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34 | (1) |
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4.3 Technology and Methods |
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34 | (2) |
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34 | (1) |
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34 | (1) |
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35 | (1) |
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4.3.4 Feasibility and Reproducibility |
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36 | (1) |
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4.4 Limits and Safety Issues |
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36 | (1) |
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36 | (1) |
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37 | (1) |
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4.5 Recent Innovation and Future Perspectives |
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37 | (1) |
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37 | (4) |
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38 | (3) |
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5 Limitations and Pitfalls |
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41 | (10) |
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41 | (1) |
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5.2 Technical Considerations |
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42 | (4) |
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5.2.1 Acquisition of Images |
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42 | (2) |
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5.2.2 Accuracy of Quantitative Measurements |
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44 | (1) |
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5.2.3 Ultrasound-Related Artifacts |
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45 | (1) |
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5.3 Anatomical Considerations |
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46 | (1) |
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5.4 Clinical Considerations |
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47 | (2) |
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5.4.1 Harmful Effects of Ultrasound Exposure |
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47 | (1) |
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5.4.2 Systemic Factors Related to Patients' Cardiopulmonary State |
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47 | (1) |
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5.4.3 Waveform Analysis in Acute Cerebrovascular Pathology |
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47 | (1) |
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5.4.4 Cerebral Circulatory Arrest |
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48 | (1) |
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49 | (2) |
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49 | (2) |
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6 The Minimal, Intermediate, and Advanced Skills: How to Boost Your Competencies |
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51 | (14) |
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51 | (1) |
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52 | (1) |
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53 | (6) |
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6.4 Learning Through Technological Aid |
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59 | (1) |
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6.5 Learning Through Guidelines and Practice Standards |
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60 | (1) |
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61 | (4) |
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62 | (3) |
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Part II Basic and Advanced Parameters |
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7 Flow Velocity, Pulsatility Index, Autoregulation, and Critical Closing Pressure |
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65 | (10) |
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65 | (1) |
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66 | (2) |
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68 | (1) |
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7.4 Critical Closing Pressure |
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68 | (2) |
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70 | (5) |
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7.5.1 Static Autoregulation |
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70 | (1) |
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7.5.2 Dynamic Autoregulation |
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70 | (1) |
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7.5.3 Continuous Monitoring of Autoregulation |
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71 | (1) |
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72 | (3) |
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8 Transcranial Doppler and Optic Nerve Ultrasonography for Non-invasive ICP Assessment |
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75 | (20) |
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75 | (1) |
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8.2 TCD-Derived Pulsatility Index |
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76 | (5) |
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8.3 Methods Based on the Calculation of Non-invasive CPP(nCPP) |
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81 | (4) |
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8.3.1 Aaslid et al. (nICPAaslid) |
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81 | (1) |
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8.3.2 Czosnyka et al. (nICPFVd) |
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81 | (3) |
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8.3.3 Edouard et al. (nICPEdouard) |
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84 | (1) |
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8.3.4 Varsos et al. (nICPccp) |
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84 | (1) |
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8.3.5 Abecasis and Cardim et al. (Spectral nCPP) |
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85 | (1) |
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8.4 Methods Based on Mathematical Models Associating Cerebral Blood Flow Velocity and Arterial Blood Pressure |
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85 | (5) |
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8.4.1 Black-Box Model for ICP Estimation (nICPBB) |
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85 | (3) |
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8.4.2 Cerebrovascular Dynamics Model for Estimation of ICP (nICPHeldt) |
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88 | (1) |
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8.4.3 Models Based on Non-linear Models Between Arterial Blood Pressure and Cerebral Blood Flow Velocity |
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89 | (1) |
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8.4.4 Semi-supervised Machine Learning |
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89 | (1) |
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8.5 Optic Nerve Sheath Diameter Measurement |
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90 | (1) |
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8.6 Take-Home Message for Clinicians |
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91 | (1) |
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91 | (4) |
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91 | (4) |
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9 Cerebral Perfusion: Practical Contributions of Transcranial Doppler at Bedside |
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95 | (14) |
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95 | (1) |
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9.2 TCD: Velocity or Flow? |
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96 | (1) |
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9.3 Detection of Conditions That Affect Cerebral Perfusion |
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97 | (2) |
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9.3.1 Noninvasive Estimation of Intracranial Pressure (ICP) |
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97 | (1) |
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97 | (1) |
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97 | (1) |
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98 | (1) |
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99 | (1) |
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9.4 Applications of TCD Evaluating Cerebral Perfusion in Common ICU Pathologies |
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99 | (6) |
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100 | (2) |
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9.4.2 Severe Traumatic Brain Injury |
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102 | (1) |
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9.4.3 Post-out-of-hospital Cardiac Arrest Syndrome |
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103 | (1) |
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9.4.4 Acute Liver Failure |
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103 | (2) |
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105 | (4) |
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105 | (4) |
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Part III Pathology and Clinical Applications: Emergency Department |
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10 Emergency Department and Prehospital Brain US as Part of POCUS and US Multiorgan Evaluation |
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109 | (20) |
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109 | (1) |
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110 | (6) |
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10.3 BUS Within Whole-Body Ultrasound in Cardiac Arrest and the Post-resuscitation Syndrome |
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116 | (4) |
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10.4 BUS Within Whole-Body Ultrasound in Multiple Trauma |
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120 | (9) |
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122 | (7) |
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Part IV Pathology and Clinical Applications: General ICU |
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129 | (10) |
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129 | (1) |
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130 | (3) |
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133 | (3) |
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136 | (3) |
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137 | (2) |
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139 | (12) |
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139 | (1) |
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12.2 Acute Ischemic Stroke |
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140 | (7) |
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12.2.1 Diagnosis of Stroke Etiology |
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140 | (1) |
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12.2.2 Diagnosis of Large Vessel Occlusion |
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140 | (1) |
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12.2.3 Monitoring of Recanalization |
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141 | (2) |
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12.2.4 Cerebral Autoregulation |
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143 | (1) |
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12.2.5 Hemorrhagic Transformation |
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144 | (1) |
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145 | (1) |
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12.2.7 Multimodal Neuromonitoring Approach |
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146 | (1) |
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147 | (1) |
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147 | (4) |
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147 | (4) |
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151 | (10) |
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151 | (1) |
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13.2 TCD During Cardiopulmonary Resuscitation |
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152 | (2) |
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13.3 Post-resuscitation Care and Neuro-Prognostication |
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154 | (2) |
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156 | (5) |
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157 | (4) |
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14 Severe Respiratory Failure: ARDS and ECMO |
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161 | (12) |
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Airton Leonardo de Oliveira Manoel |
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161 | (1) |
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14.2 Brain Ultrasonography |
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162 | (4) |
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14.2.1 PEEP and Recruitment Maneuvers |
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162 | (1) |
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163 | (2) |
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165 | (1) |
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14.2.4 Identification of Right-to-Left Shunt with TCD |
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166 | (1) |
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14.3 General Ultrasonography |
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166 | (1) |
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166 | (1) |
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14.3.2 Cardiac Ultrasound |
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166 | (1) |
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167 | (6) |
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167 | (6) |
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Part V Pathology and Clinical Applications: Neuro-ICU |
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15 Intracerebral Hematomas, Midline Shift, Hydrocephalus |
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173 | (10) |
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Daniel Paes de Almeida dos Santos |
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Ivan Rocha Ferreira da Silva |
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173 | (2) |
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15.2 Cerebral Hemodynamics |
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175 | (1) |
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15.2.1 Pulsatility Index, Blood Flow Velocities, and Cerebral Autoregulation |
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175 | (1) |
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15.3 Intracerebral Hematoma |
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176 | (1) |
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177 | (1) |
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15.5 Other Parameters and Applications |
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178 | (1) |
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178 | (1) |
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15.5.2 Subdural Hematomas |
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178 | (1) |
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15.5.3 Cerebral Venous Drainage Assessment |
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179 | (1) |
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179 | (1) |
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180 | (3) |
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180 | (3) |
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16 Vasospasm After Subarachnoid Hemorrhage |
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183 | (10) |
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183 | (1) |
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16.2 Pathophysiology of Cerebral Vasospasm and Delayed Cerebral Ischemia |
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184 | (1) |
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16.3 Diagnosis of Cerebral Vasospasm and Delayed Cerebral Ischemia |
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185 | (1) |
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16.4 Transcranial Doppler Principles |
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185 | (2) |
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16.5 Other Diagnostics of Cerebral Vasospasm |
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187 | (1) |
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16.6 Prevention of Vasospasm/Delayed Cerebral Ischemia |
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188 | (1) |
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16.7 Management of Symptomatic Vasospasm |
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188 | (1) |
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189 | (4) |
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189 | (4) |
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17 Brain US in the Neurological Settings |
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193 | (12) |
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194 | (1) |
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17.2 Pseudotumor Cerebri Syndrome |
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195 | (1) |
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17.3 Low-Pressure Syndromes, Cerebrospinal Fluid (CSF) Leaks, and Therapeutical Approaches: Intracranial Hypotension, Patch Test |
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196 | (1) |
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17.4 Posterior Reversible Encephalopathy Syndrome (PRES) |
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196 | (1) |
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17.5 Acute Mountain Sickness (AMS) |
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196 | (1) |
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17.6 Optic Neuritis and Non-arteritic Ischemic Optic Neuropathy |
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197 | (1) |
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198 | (1) |
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17.8 Infections of Central Nervous System |
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198 | (1) |
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17.9 Intracranial Stenosis and Systemic Vasculitis |
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199 | (1) |
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17.10 Parenchymal B Sonography in Neurodegenerative Diseases |
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200 | (1) |
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201 | (4) |
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201 | (4) |
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205 | (10) |
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18.1 Pathophysiology of Brain Death |
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205 | (1) |
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206 | (1) |
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207 | (8) |
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18.3.1 False-Positive and False-Negative Results |
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209 | (1) |
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210 | (1) |
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210 | (5) |
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Part VI Pathology and Clinical Applications: Applications in Neurosurgery |
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19 Intraoperative Echo in TBI |
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215 | (10) |
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215 | (2) |
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19.2 Utility of ioUS in TBI |
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217 | (4) |
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19.2.1 Intraoperative Use of US |
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217 | (1) |
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19.2.2 Possible Scenarios |
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218 | (1) |
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218 | (3) |
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221 | (4) |
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222 | (3) |
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20 Neurosonology in Tropical Medicine |
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225 | (18) |
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Peter John Ashton Hutchinson |
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225 | (1) |
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20.2 Neurosonology in Neurological Infections in the Tropics... |
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226 | (1) |
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20.3 Human Immunodeficiency Virus |
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226 | (1) |
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20.4 Tuberculous Meningitis |
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227 | (1) |
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20.4.1 Intracranial Hypertension in TBM |
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227 | (1) |
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20.4.2 Tuberculous Meningitis-Related Vasculopathy |
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227 | (1) |
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20.5 Cryptococcal Meningitis |
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228 | (1) |
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20.5.1 Intracranial Hypertension in CrM |
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229 | (1) |
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20.5.2 Vasculopathy in CrM |
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229 | (1) |
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229 | (1) |
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20.6.1 Intracranial Hypertension in Neurocysticercosis |
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230 | (1) |
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20.6.2 Vasculopathy in NCC |
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230 | (1) |
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230 | (4) |
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20.7.1 Raised Intracranial Pressure in Paediatric CM |
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231 | (1) |
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20.7.2 Transcranial Doppler in Paediatric CM |
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232 | (2) |
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20.8 Neurosonology in Non-infectious Diseases in Tropical Regions |
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234 | (1) |
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20.8.1 Sickle Cell Anaemia |
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234 | (1) |
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234 | (1) |
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20.8.3 Traumatic Brain Injury |
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234 | (1) |
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20.9 Implementation of Neurosonology in Health Systems in Low- and Middle-Income Countries |
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235 | (8) |
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236 | (7) |
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Part VII Pathology and Clinical Applications: Specific Considerations |
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21 Pediatric Population (Pathology and Clinical Applications: Specific Considerations) |
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243 | (6) |
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243 | (1) |
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21.2 Diagnostic Techniques |
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244 | (2) |
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21.2.1 Transcranial Doppler Sonography (TCD) |
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244 | (1) |
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21.2.2 Transorbital Imaging |
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244 | (1) |
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21.2.3 Transcranial Imaging |
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245 | (1) |
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21.3 Image-Guided Therapeutic Interventions |
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246 | (1) |
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21.4 Intraoperative Navigation |
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246 | (3) |
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247 | (2) |
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22 Brain Ultrasound in the Critically Ill Pregnant and Puerperium Women |
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249 | (10) |
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249 | (1) |
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250 | (1) |
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22.3 Normal Cerebral Physiology in Pregnancy |
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250 | (1) |
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22.4 Unique Brain Diseases of Pregnancy and Puerperium |
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251 | (4) |
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22.4.1 Preeclampsia and Eclampsia |
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251 | (3) |
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22.4.2 Postpartum Angiopathy |
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254 | (1) |
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22.4.3 Cerebral Venous Sinus Thrombosis |
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254 | (1) |
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255 | (4) |
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255 | (4) |
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Part VIII Pathology and Clinical Applications: Intraoperative Applications |
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23 Intraoperative Application of Brain Ultrasound in Non-cardiac Surgery |
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259 | (10) |
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259 | (1) |
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23.2 Techniques and Methods |
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260 | (2) |
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23.2.1 Assessment of CBF: TCD and TCCD |
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260 | (1) |
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23.2.2 Estimation of CPP and ICP |
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261 | (1) |
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23.2.3 Embolism Detection |
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261 | (1) |
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23.3 Clinical Applications |
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262 | (7) |
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23.3.1 Vascular Surgery: Carotid Endarterectomy |
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264 | (1) |
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23.3.2 Pneumoperitoneum and Prone Position |
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265 | (1) |
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23.3.3 Beach Chair Position and Orthopaedic Surgery |
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266 | (1) |
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267 | (2) |
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269 | (16) |
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270 | (1) |
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24.2 Basic POCUS-B in Cardiac Surgery |
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270 | (1) |
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24.3 Brain Ultrasound Monitoring in Paediatric Cardiac Surgery |
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270 | (3) |
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24.3.1 Usefulness of Preoperative Brain Ultrasonography in Paediatric Cardiac Surgery |
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271 | (1) |
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24.3.2 Usefulness of Intraoperative Brain Ultrasonography in Paediatric Cardiac Surgery |
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271 | (2) |
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24.4 Brain Ultrasound Monitoring in Adult Cardiac Surgery |
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273 | (5) |
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24.4.1 Preoperative Transcranial Doppler |
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273 | (1) |
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24.4.2 Intraoperative Use of Transcranial Doppler |
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274 | (4) |
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24.5 Multimodal Neurologic Monitoring in Cardiac Surgery |
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278 | (1) |
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24.6 Limitations of Transcranial Doppler in Cardiac Surgery |
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278 | (1) |
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279 | (6) |
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279 | (6) |
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25 Case 1: Vasospasm Treated with Intra-Arterial Nimodipine |
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285 | (4) |
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26 Case 2: Vasospasm Treated with Ballooning Angioplasty |
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289 | (6) |
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27 Case 3: Vasospasm Treated with Ballooning Angioplasty |
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295 | (4) |
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28 Case 4: aSAH during Pregnancy |
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299 | (4) |
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29 Case 5: Intracranial Hypertension and Decompressive Craniectomy in Severe aSAH |
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303 | (6) |
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30 Case 6: Brain Ultrasound for EVD Weaning |
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309 | (4) |
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31 Case 7: Posterior Cranial Fossa Brain Tumor in a Pediatric Patient |
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313 | (4) |
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32 Case 8: Cerebral Circulatory Arrest |
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317 | (2) |
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33 Case 9: Intracranial Hypertension and Hydrocephalus |
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319 | (2) |
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34 Case 10: Intracranial Hypertension and Decompressive Craniectomy |
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321 | (4) |
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35 Case 11: Hydrocephalus with Ventricular Vegetations |
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325 | (2) |
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36 Case 12: Intracranial Hypertension after Ischemic Stroke |
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327 | |
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