Optic nerve sheath diameter appraisal in children affected by diabetic ketoacidosis

2019 ◽  
Vol 32 (11) ◽  
pp. 1203-1204
Author(s):  
Palmiro Cornetta ◽  
Livio Vitiello ◽  
Maddalena De Bernardo ◽  
Nicola Rosa
2016 ◽  
Vol 40 (2) ◽  
pp. 126-130 ◽  
Author(s):  
Gregory Hansen ◽  
Elizabeth A.C. Sellers ◽  
Darcy L. Beer ◽  
Jeff K. Vallance ◽  
Ian Clark

2019 ◽  
Vol 32 (9) ◽  
pp. 943-949 ◽  
Author(s):  
Ozlem Tolu Kendir ◽  
Hayri Levent Yilmaz ◽  
Ahmet Kagan Ozkaya ◽  
Ihsan Turan ◽  
Sinem Sari Gokay ◽  
...  

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.


2021 ◽  
Author(s):  
Nihan Şık ◽  
İbrahim Mert Erbaş ◽  
Korcan Demir ◽  
Durgül Yılmaz ◽  
Murat Duman

2016 ◽  
Vol 17 (5) ◽  
pp. 531-541 ◽  
Author(s):  
Kelly Bergmann ◽  
Donna Milner ◽  
Constantinos Voulgaropoulos ◽  
Gretchen Cutler ◽  
Anupam Kharbanda

2016 ◽  
Vol 30 (8) ◽  
pp. 1600-1602 ◽  
Author(s):  
Gregory Hansen ◽  
Jeff K. Vallance ◽  
Darcy L. Beer ◽  
Ian Clark ◽  
Elizabeth A.C. Sellers

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