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Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring
Joint Authors
Mecarelli, Oriano
Rocco, Monica
Di Piero, Vittorio
Toscano, M.
Spadetta, G.
Pulitano, Patrizia
Vicenzini, E.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-03-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134069