Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring
المؤلفون المشاركون
Mecarelli, Oriano
Rocco, Monica
Di Piero, Vittorio
Toscano, M.
Spadetta, G.
Pulitano, Patrizia
Vicenzini, E.
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-03-21
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
The increase of the optic nerve sheath diameter (ONSD) is a reliable, noninvasive sonographic marker of intracranial hypertension.
Aim of the study was to demonstrate the efficacy of ONSD evaluation, when monitoring neurocritical patients, to early identify malignant intracranial hypertension in patients with brain death (BD).
Methods.
Data from ultrasound ONSD evaluation have been retrospectively analyzed in 21 sedated critical patients with neurological diseases who, during their clinical course, developed BD.
31 nonneurological controls were used for standard ONSD reference.
Results.
Patients with neurological diseases, before BD, showed higher ONSD values than control group (CTRL: RT 0.45±0.03 cm; LT 0.45±0.02 cm; pre-BD: RT 0.54±0.02 cm; LT 0.55±0.02 cm; p<0.000) even without intracranial hypertension, evaluated with invasive monitoring.
ONSD was further significantly markedly increased in respect to the pre-BD evaluation in neurocritical patients after BD, with mean values above 0.7 cm (RT 0.7±0.02 cm; LT 0.71±0.02 cm; p<0.000), with a corresponding dramatic raise in intracranial pressure.
Logistic regression analysis showed a strong correlation between ONSD and ICP (R 0,895, p<0.001).
Conclusions.
ONSD is a reliable marker of intracranial hypertension, easy to be performed with a minimal training.
Routine ONSD daily monitoring could be of help in Intensive Care Units when invasive intracranial pressure monitoring is not available, to early recognize intracranial hypertension and to suspect BD in neurocritical patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Toscano, M.& Spadetta, G.& Pulitano, Patrizia& Rocco, Monica& Di Piero, Vittorio& Mecarelli, Oriano…[et al.]. 2017. Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134069
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Toscano, M.…[et al.]. Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1134069
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Toscano, M.& Spadetta, G.& Pulitano, Patrizia& Rocco, Monica& Di Piero, Vittorio& Mecarelli, Oriano…[et al.]. Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134069
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1134069
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر