scholarly journals Optic nerve sheath diameter by bedside ultrasound is a reliable screening test for cerebral edema in the comatose ICU patient

Critical Care ◽  
2015 ◽  
Vol 19 (Suppl 1) ◽  
pp. P457 ◽  
Author(s):  
A Mohamed ◽  
N Alharbi ◽  
N Salahuddin ◽  
I Hussain ◽  
O Solaiman
Keyword(s):  
Optic Nerve ◽  
Cerebral Edema ◽  
Screening Test ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Bedside Ultrasound ◽  
Nerve Sheath

Determination of cerebral edema with serial measurement of optic nerve sheath diameter during treatment in children with diabetic ketoacidosis: a longitudinal study

2019 ◽  
Vol 32 (9) ◽  
pp. 943-949 ◽  
Author(s):  
Ozlem Tolu Kendir ◽  
Hayri Levent Yilmaz ◽  
Ahmet Kagan Ozkaya ◽  
Ihsan Turan ◽  
Sinem Sari Gokay ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Diabetic Ketoacidosis ◽  
Cerebral Edema ◽  
Clinical Signs ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Serial Measurement ◽  
Eyes Closed ◽  
Nerve Sheath ◽  
Linear Probe

Abstract Background Cerebral edema is a fatal complication that can occur in children with diabetic ketoacidosis (DKA). Its clinical signs are generally not explicit, and subclinical cerebral edema can occur. This study is one of the few longitudinal studies conducted to identify cerebral edema in patients with DKA by measuring the optic nerve sheath diameter (ONSD). The aim of this study was to investigate cerebral edema in children with DKA with serial measurement of ONSD, which is an early and reliable indicator of cerebral edema, and to monitor changes in ONSD during therapy. Methods The study was conducted by measuring ONSD ultrasonographically at baseline and during the course of therapy in patients with DKA. All participants were diagnosed and received therapy at our unit between May 2016 and June 2017. The study was registered with the Clinical Trials database, with a study number of NCT02937441. Measurements were obtained while the patients were in the supine position with their eyes closed, and axial transbulbar images of both eyes were obtained with a 6–15-MHz linear probe. Results The ONSD values of children with DKA changed during the treatment, reaching the highest values at 12–16 h of therapy, and the greatest ONSD was observed in children who had moderate and severe DKA. Conclusions During treatment of children with DKA, it is possible to predict cerebral edema by measuring ONSD, and this may contribute to clinical management, especially fluid treatment.

scholarly journals EFFICIENCY OF OPTIC NERVE SHEATH DIAMETER IN INDICATION OF CEREBRAL EDEMA IN UNCONSCIOUS PATIENTS.

2017 ◽  
Vol 5 (12) ◽  
pp. 849-855
Author(s):  
HMeftun Kaptan ◽  
◽  
Ali Gur ◽  
Kasim Turgut ◽  
Taner Guven ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Cerebral Edema ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Nerve Sheath ◽  
Unconscious Patients

Accuracy of Optic Nerve Sheath Diameter Measurement by Emergency Physicians Using Bedside Ultrasound

2015 ◽  
Vol 48 (4) ◽  
pp. 450-457 ◽  
Author(s):  
Getaw Worku Hassen ◽  
Isaac Bruck ◽  
Joseph Donahue ◽  
Benjamin Mason ◽  
Brett Sweeney ◽  
...  
Keyword(s):  
Optic Nerve ◽  
Optic Nerve Sheath Diameter ◽  
Optic Nerve Sheath ◽  
Bedside Ultrasound ◽  
Diameter Measurement ◽  
Emergency Physicians ◽  
Nerve Sheath
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