A certain percentage of patients have poor windows for TCDs. Hemicraniectomy patients have an outstanding window that allow real-time imaging of the brain structures. TCD is underutilized in hemicraniectomy patients.
1. Monitoring post-op complications – hygromas, SDH
2. Monitor midline shift
Srinivasan, V., Smith, M. and Bonomo, J. (2019). Bedside Cranial Ultrasonography in Patients with Hemicraniectomies: A Novel Window into Pathology. Neurocritical Care.