We also use a Sonara for embolic monitoring.  For Vasospasm and stenosis,
we use a Philips CX50 with Purewave S5 probe.  The Philips Purewave S5 has
been the best penetration I've found in many years.   There are a few older
patients with poor windows, but those also cannot be performed with the
Sonara monitoring machine either.

We average 5-7 vasospasm exams daily. Once or twice a year we get an order
on a patient that has inadequate temporal windows.
I love imaging versus blind studies.   As far as documenting trends, we
take velocities daily and report them...and the studies are compared to the
prior study in the final interpretation.
However, there is no trend curve/graph/data table from day to day.
Good Luck !

On Thu, Apr 14, 2016 at 8:42 AM, Christopher Walters <
[log in to unmask]> wrote:

> Does anyone have a favorite brand of TCD Machine? Our Neurosurgical ICU is
> ramping up and our TCD volumes are going through the roof! We are looking
> to invest in a new machine (machineS?) for monitoring vasospasm in
> subarachnoid hemorrhage patients. Important to this end is the ability to
> create trends. Something that could trend from the cloud would be ideal. We
> are currently using Sonora/Viasys machines that can only trend studies that
> are logged directly on the machine. They are also somewhat glitchy… We’ve
> thought about looking at TCD-imaging, but the last I read it was for the
> most part inferior – fewer scannable patients. Is this still the case?
> Any suggestions?
> Best,
> *C. Alan Walters, RVT, RDCS*
> *Vascular Quality Assurance Coordinator, Cardiac Diagnostics*
> *Palmetto Health*
> 6 Richland Medical Park Drive, Columbia, SC 29203
> Office: 803-434-5303
> Fax: 803-434-5957
> [image: cid:[log in to unmask]]
> <>
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