Real situations. Real awareness. Real hands-on. Comprehensive one-on-one real world training that can never be duplicated in a classroom environment. This training instills the confidence in the performing professional to understand what they’re doing and how to perform the exam correctly to obtain the information the provider needs.
Click here for physician training.
Technologist training is based upon many factors, one of the primary being the facility. If the facility is the Neuro-ICU and step-down unit of a level 1 trauma center, the training for a registered vascular sonographer would be longer than those for a neurology outpatient setting.
The medical professionals we train are both a reflection of your business as well as an extension of NVL Solutions.
Having performed these exams at the highest level, NVL understands what it takes to acquire the necessary skills to accurately perform the various exams, which is far beyond a multi-day training program.
We work together with you and your patients, which makes this real hands-on training. These are real situations. Real learning.
We’re invested in you. We want you to succeed.
Knowledge Gained
- Applied ultrasound physics and hemodynamics (a primary focus for those that are currently not a sonographer).
- Intracranial and extracranial vessel anatomy and anatomic variants
- Acoustic “windows”, vessel identification, and normal values
- Navigating an ICU room/patient and understanding the “what to” and “what not to” do’s
- Relationships between intracranial pressure, mean arterial pressure, cerebral perfusion pressure, and the affect on flow dynamics
- Normal and abnormal intracranial and extracranial waveform morphology
- Abnormal velocity ranges for varying disease and age related compensation
- Pulsatility Index and its relationship with pressure.
- Physiologic affects on blood flow (ie: hematocrit and body temperature)
- Extracranial disease and its effect on intracranial hemodynamics
- Determining collateral flow
- Understanding intracranial disease such as aneurysm ruptures, subarachnoid hemorrhages, moya moya, arterio-venous malformations
- How to review other imaging modalities: CTA, MRA, DCA
Exams Learned
- “Blind” TCD complete and limited for vasospasm, stroke, and sickle cell
- Transcranial Color-coded Sonography (TCCS) – ultrasound imaging of intracranial vasculature
- TCD bubble studies for intracardiac shunting
- TCD emboli monitoring exams
- TCD Vasoreactivity
- Intraoperative monitoring / Balloon test occlusions
- TCD cerebrocirculatory arrest
- TCD with head rotation for vertebrobasilar insufficiency
- TCD reactive hyperemia for subclavian steal
- External Carotid Artery to MCA via STA bypass graft (based on equipment availability and background)
- ONSD (Optic nerve sheath diameter) testing for elevated ICP (based on equipment availability and background)
- Temporal Arteritis – Assessment of temporal arteries for GCA (based on equipment availability and background
NVL Solutions 