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====== Brain Blood Flow Testing ====== | ====== Brain Blood Flow Testing ====== | ||
- | [[Brain Blood Flow]] | + | [[Cerebral |
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- | ✅ Purpose | + | |
- | To determine whether oxygenated blood is reaching brain tissue, which is essential for assessing: | + | |
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- | Brain viability or function | + | |
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- | Irreversibility of brain injury | + | |
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- | Compliance with legal and ethical criteria for death | + | |
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- | 🛠️ Common Methods | + | |
- | Cerebral Near-Infrared Spectroscopy (NIRS) – monitors regional oxygen saturation in the brain. | + | |
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- | Transcranial Doppler (TCD) – detects blood flow velocity in major cerebral arteries. | + | |
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- | Radionuclide Cerebral Perfusion Scans (e.g., HMPAO SPECT) – visualizes active perfusion. | + | |
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- | CT/MR Perfusion Imaging – provides detailed maps of blood flow to different brain regions. | + | |
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- | Digital Subtraction Angiography (DSA) – gold standard for demonstrating cerebral circulation. | + | |
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- | EEG/BIS Monitoring (indirect) – absence of electrical activity may correlate with absent flow, but not a direct measure. | + | |
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- | ⚠️ Clinical Contexts | + | |
- | Determination of brain death | + | |
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- | Organ donation (especially DCD with TA-NRP) | + | |
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- | Monitoring during cardiac arrest or circulatory support | + | |
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- | Assessing prognosis in severe brain injury | + | |