![]() ![]() Blue Cross Blue Shield Association Medical Policy Reference Manual. ACRAIUMSPRSRU Practice Parameter for the Performance of Transcranial Doppler Ultrasound, Revised 2017. TCD guidelines operating room monitoring transcranial Doppler update. Other names used to report transcranial Doppler studies: Transcranial Doppler (TCD) ultrasound REFERENCES: 1. Specifically, these guidelines define (1) the objectives of TCD monitoring (2) the responsibilities and behaviors of the neurosonographer during monitoring (3) instrumentation and acquisition parameters (4) safety considerations (5) contemporary rationale for TCDNM (6) TCDNM perspectives and (7) major recommendations. The American Society of Neurophysiologic Monitoring and American Society of Neuroimaging Guidelines Committees formed a joint task force and developed updated guidelines to assist in the use of TCDNM in the surgical and intensive care settings. Understanding, avoiding, and preventing peri- or postoperative complications, including neurological deficits following abovementioned surgeries, endovascular intervention, or diagnostic procedures, represents an area of great public and economic benefit for society, especially considering the aging population. An extensive and rapidly growing literature suggests that the essential hemodynamic information provided by transcranial Doppler (TCD) ultrasonography neuromonitoring (TCDNM) would provide effective monitoring modality for improving outcomes after different types of vascular, neurosurgical, orthopedic, cardiovascular, and cardiothoracic surgeries and some endovascular interventional or diagnostic procedures, like cardiac catheterization or cerebral angiography. Today, it seems prudent to reconsider how ultrasound technology can be used for providing intraoperative neurophysiologic monitoring that will result in better patient outcomes and decreased length and cost of hospitalization.
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