Benefits and usefulness of transcranial Doppler in paediatric critical care

transcranial Doppler in paediatric critical care

Authors

  • Mehdi Oualha Service de réanimation et surveillance continue médico-chirurgicales pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Cité, F-75015 Paris, France.
  • Anne Millet Service de réanimation et surveillance continue médico-chirurgicales pédiatriques, Hôpital Couple Enfant, Hôpital Universitaire Grenoble Alpes, 38700 La Tronche, France
  • Judith Chareyre Service de réanimation et surveillance continue médico-chirurgicales pédiatriques, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Université Paris Cité, F-75015 Paris, France.
  • Virginie Rollet Cohen Service de pédiatrie générale, centre hospitalier de Versailles, Le Chesnay,France
  • Guillaume Emeriaud Soins intensifs pédiatriques, CHU Sainte-Justine, Département de Pédiatrie, Université de Montréal, Montréal, Québec, Canada

DOI:

https://doi.org/10.37051/mir-34-001929

Keywords:

Trancranial Doppler, children, critical care, cerebral hemodynamics

Abstract

Transcranial Doppler (TCD) is a non-invasive technique for estimating cerebral blood flow, and is increasingly used in paediatric critical care. Quick to learn, easy to use and user-friendly at the patient's bedside, it provides clinicians with useful information in real time, which can refine the assessment of cerebral haemodynamics, provide prognostic elements or lead to therapeutic interventions. Knowledge of (i) the neurovascular physiology of the child and the systemic factors influencing it, (ii) the technical principles of TCD, and (iii) normal and abnormal velocimetric profiles are a prerequisite for proper interpretation of TCD. The absence of recommendations and the lack of academic and practical training are a risk of inappropriate use. Clinical contextualisation of the use of TCD and its integration into a multimodal neuromonitoring approach are necessary for appropriate and relevant use.

Image

Downloads

Published

2026-01-12

How to Cite

Oualha, M., Millet, A., Chareyre, J., Rollet Cohen, V., & Emeriaud, G. (2026). Benefits and usefulness of transcranial Doppler in paediatric critical care: transcranial Doppler in paediatric critical care. Médecine Intensive Réanimation, 34(4). https://doi.org/10.37051/mir-34-001929

Issue

Vol. 34 No. 4 (2025)

Section

Update

Categories

Most read articles by the same author(s)