Practice Recommendations for Transcranial Doppler Ultrosonography in Critically Ill Children in the Pediatric Intensive Care Unit

A Multidisciplinary Expert Consensus Statement

The PNCRG has established a subgroup on the use of Transcranial Doppler Ultrasound (TCD) in critically ill children. A recent survey of TCD practices in pediatric neurocritical care centers by this subgroup (Pediatr Crit Care Med 2020 21(1):67-74) found that TCD is in clinical use in 27 PNCC centers within PNCRG but only 30% had a written protocol. To improve consistency in TCD use in pediatric critical care, optimize safety and efficacy of this tool, and provide for meaningful and reproducible results in clinical care and research, the TCD subgroup has prepared a manuscript titled “Practice Recommendations for Transcranial Doppler Ultrasonography in the Pediatric Intensive Care Unit: a Multidisciplinary Expert Consensus Statement“, to be published in an upcoming issue of the Journal of Pediatric Intensive Care

A total of 34 consensus statements were developed across 4 domains through a 3 round modified Delphi process, using a panel from the PNCRG TCD subgroup. These statements cover performance standards, technical limitations, interpretation guidelines, documentation and reporting standards. A suggested TCD protocol and TCD reporting template from this consensus statement are linked below.

Suggested TCD Protocol

http://www.pncrg.org/wp-content/uploads/2020/06/Supplemental-Table-1.-Suggested-TCD-protocol.docx

Reporting Template for TCD in the PICU

http://www.pncrg.org/wp-content/uploads/2020/06/Figure-2.-TCDinPICUReportingTemplate.docx