Point-of-care transcranial ultrasonography (TCCD) in intensive care
Course Location
Medical Simulation Center WUM
Pawińskiego 3a, Warsaw
Instructors
Mateusz Zawadka, MD, PhD; 2nd Department of Anesthesia and Intensive Care, Medical University of Warsaw
Krystian Sporysz, MD; 2nd Department of Anesthesia and Intensive Care, Medical University of Warsaw
Adrian Wong, MD; Consultant at King’s College Hospital, London
Masumi Tanaka, MD; Consultant in Neurointensive Care at King’s College Hospital, London
Target group: Resident doctors and specialists in anesthesiology and intensive care, emergency medicine, neurosurgery, and neurology.
The basic course is designed for all physicians interested in brain imaging and the use of ultrasound in traumatic brain injuries.
Course Topics
Introduction to transcranial ultrasound:
- Possibilities and applications of bedside TCCD (Transcranial Color-Coded Doppler) ultrasound.
- Basics of imaging with color Doppler (CD) and spectral Doppler (PW).
- Choosing the acoustic window.
- Ultrasound anatomy of the brain.
- Anatomy of cerebral circulation.
- Basic measurements used in assessing cerebral blood flow.
- Practical sessions on models.
Interactive session:
- Use of ultrasound in traumatic brain injuries.
- Brain edema.
- Cerebral circulation arrest.
- Clinical case analysis.
FRIDAY (15:00-17:45):
14:30-15:00 Registration and Welcome of Participants
15:00-15:20 Current guidelines and recommendations for TCCD usage
15:20-15:50 Introduction to transcranial ultrasound – Lecture
- Possibilities and applications of bedside TCCD ultrasound examination
- Device settings, probe and preset selection
- Basics of imaging in Color Doppler (CD) and Spectral Doppler (PW) options
- Selection of the acoustic window
15:50-16:10 Ultrasonographic anatomy of the brain – Lecture
16:10-16:20 Coffee Break
16:20-17:00 Anatomy of cerebral circulation – Lecture
17:00-17:30 Basic measurements used in the assessment of cerebral blood flow – Lecture
17:30-17:45 Examination demonstration
17:45 End of the first day
19:00 Dinner with the faculty (Optional)
SATURDAY (09:00-15:00):
09:00-09:30 Quick revision on TCCD examination
09:30-10:10 Practical Exercises on Models part 1
- Brain anatomy
10:10-10:50 Practical Exercises on Models part 2
- Anatomy of cerebral circulation
10:50-11:20 Coffee break & Brunch
11:20-12:00 Practical Exercises on Models part 3
- Hemodynamic measurements
12:00-12:50 Practical Exercises on Models part 4
- Complete TCCD examination
12:50-13:00 Coffee Break
13:00-15:00 Interactive Session & Clinical Cases Analysis
- Use of ultrasound in head and brain trauma
- Cerebral edema – diagnostics and monitoring
- Vasospasm
- Patient on ECMO
- Cerebral Circulatory Arrest (CCA)
15:00 End of the Course
Course Fee: 450 EUR. PAYMENT DEADLINE: August 15, 2025
The fee includes participation in the workshops, lunch, and coffee breaks.
Social event: dinner paid separately
Dr. Adrian Wong, MD
Adrian completed his training in anaesthesia & intensive care in 2014 and is a Consultant at King’s College Hospital, London.
Within critical care, he has an interest in the use of point-of-care ultrasound to guide fluid management, especially around venous congestion and organ perfusion, and human factors in the time critical environment of the ICU. His other research interest includes clinical governance and safety, medical education and burnout/well-being.
He is an examiner for the European Diploma of Intensive Care Medicine. He was the ex-chair of the Social Media and Digital Content Committee of the ESICM and the Course Director of the GENIUS Ultrasound course. He is on the executive committee of the International Fluid Academy and on the board of directors of WINFOCUS.
Masumi Tanaka, MD
Masumi is a Consultant in Neurointensive Care at King’s College Hospital, London.
Her clinical and academic interests focus on the use of transcranial Doppler (TCCD) and electroencephalography (EEG) in the management of critically ill neurological patients. She is particularly interested in multimodal monitoring to optimise cerebral perfusion and guide neuroprotective strategies in the ICU.
Masumi is actively involved in medical education and contributes to national and international teaching on neurocritical care monitoring. She is part of ongoing research initiatives aimed at improving outcomes in patients with acute brain injury.
Krystian Sporysz-Janiec, MD
Graduate of the Medical University of Gdańsk, certified ultrasonographer, and enthusiast of point-of-care ultrasound (POCUS) in intensive care, with a particular focus on transcranial Doppler (TCCD) and lung ultrasound. He has completed numerous ultrasound trainings both in Poland and abroad, including at Massachusetts General Hospital, Harvard Medical School, and Wake Forest School of Medicine. Lecturer and instructor in ultrasound courses.
Mateusz Zawadka, MD, PhD
Mateusz Zawadka, MD, PhD, DESAIC, EDIC is a consultant in anaesthesia and intensive care at the 2nd Department of Anaesthesia and Intensive Care at the University Clinical Centre and an assistant professor at the Medical University of Warsaw. Dr Zawadka completed his research and clinical fellowships at St. Bartholomew and King’s College Hospital in London, UK, and earned his PhD in the field of perioperative echocardiography.
With a focus on critical care echocardiography, procedural ultrasound, and education, Dr Zawadka is dedicated to advancing medical knowledge. He is a member of the WINFOCUS Board of Directors. Additionally, as the dedicated Chair of the Echocardiography and Ultrasound Section of the Polish Society of Anaesthesiology and Intensive Therapy, he actively supports the development of local point-of-care education programs.
