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ORIGINAL ARTICLE
Year : 2017  |  Volume : 4  |  Issue : 4  |  Page : 209-212

Role of transcranial Doppler and FOUR score in assessment of sepsis-associated encephalopathy


Critical Care Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Dina H Zidan
Critical Care Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, 21521
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_109_16

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Background Monitoring of the septic complications on the brain is useful in management and in attenuating the effect of sepsis-related cerebral complications on outcome. Patients and methods A transcranial Doppler probe was applied through the temporal bone window at both sides of the skull within the first day of diagnosing sepsis for 10 s. The values of the brain side with the highest peak systolic velocity (PSV) and end diastolic velocity (EDV) were registered. We calculated the pulsatility index (PI) as follows: PI=(PSV−EDV)/mean velocity; the neurological status was evaluated 6 h after sedation cessation, using Glasgow Coma Scale and Full Outline of UnResponsiveness score. Results There was a significant difference in the PI between conscious patients and patients suffering from sepsis-associated encephalopathy. Conclusion PI is a predictor of sepsis-associated encephalopathy in septic patients.


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