Save
The value of optic nerve sheath diameter measurement in assessing intracranial pressure using bedside ultrasound in resource limited setting
EANS Academy. Aklilu A. Sep 27, 2019; 276116; EP14005
Abstract
Discussion Forum (0)
Rate & Comment (0)
Background: Currently customary practice at Black lion hospital, a biggest tertiary hospital in Ethiopia, when dealing with patients who sustained traumatic brain injury is widely based on clinical judgment. Their neuro status is monitored using only their serial neurologic examination and basic laboratory work-up. It is only when they deteriorate significantly that they are sent to the CT scan. It is often difficult to send ICU patients who are on respirator to the CT scan. Thus, there is often a significant delay to get the CT results which might take days.
Objectives: The purpose of this pilot study was to evaluate ICP in patient with head trauma (severe, moderate or mild) and assess the value of bedside ultrasound in assessing the ICP and the potential effectiveness in decision making process.
Methods All patients that present to the ED or refereed to the Neurosurgery service with presumed ICP as a complication of trauma were included in the study. physicians with basic ocular US training continue their current practice in managing patients who have suspected ICP and add bedside ultrasound evaluation of the ONSD and document whether or not the results of the bedside ultrasound would have changed/altered their management decisions.
Results: A total of 38 ocular ultrasound were performed and only 28 patients had complete information on the optic nerve sheath measurement. Of these 28 patients 26 patients had bilateral ONSD measurements. Ten patients had an ONSD of 6mm and above [(considered pathological reflecting increased intracranial pressure of which 4 patients had severs TBI (GCS< 9).
Conclusions: Bedside ONSD measurement can be a reliable means to follow and augment clinical decision-making process on management of patients with raised ICP following trauma or other causes in a setup where invasive ICP monitoring is non-existing and doing serial CT-scan is not practical.
Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings