Vasospasm Surveillance With Transcranial Doppler Sonography in Subarachnoid Hemorrhage

The use of transcranial Doppler monitoring for the diagnosis of vasospasm in subarachnoid hemorrhage is backed by national guidelines. However, it remains poorly used across neurologic intensive care units in the United States. This current practice article uses 2 clinical vignettes to illustrate the simplicity and logic behind routine daily surveillance of vasospasm with transcranial Doppler sonography in patients with subarachnoid hemorrhage, in preference to other modalities.