دورية أكاديمية
Optic nerve sheath diameter measurement using point-of-care ultrasound to assess intracranial pressure of adult patients with traumatic brain injury in resource-limited setting
| العنوان: | Optic nerve sheath diameter measurement using point-of-care ultrasound to assess intracranial pressure of adult patients with traumatic brain injury in resource-limited setting |
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| المؤلفون: | Melaku Getachew, Mohammednur Abdulahi, Natan Muluberehan, Zeynu Hussen, Amanuel Alemayehu, Tiliksew Abebe, Abdulaziz Hussein, Peter Hutchinson, Angelos Kolias, Mulugeta Semework, Abenezer Tirsit, Tsegazeab Laeke, Abraham Tadela, Getaw Worku Hassen |
| المصدر: | Interdisciplinary Neurosurgery, Vol 34, Iss , Pp 101847- (2023) |
| بيانات النشر: | Elsevier, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | POCUS, TBI, ONSD, Limited-resource Setting, Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: Traumatic brain injury is a disease with high mortality with increased intracranial pressure included in the emergency department. Neuroimaging and intracranial pressure monitoring are limited in resource-limited settings. Optic nerve sheath diameter measurement to assess intracranial pressure indirectly using point-of-care ultrasound is appealing in diagnostics and decision-making. Objectives: We plan to evaluate the utility of point-of-care ultrasound on optic nerve sheath diameter role in traumatic brain injury patients. In these patients, optic nerve sheath diameter measurement was performed immediately postoperatively and 24 h later by trained residents. The procedure was repeated if any change in clinical status was observed. Results: A total of 50 patients were enrolled. Twenty-one patients underwent neurosurgical intervention. Three patients died in hospital. Eighteen patients had optic nerve sheath diameters less than 5 mm, 20 patients had optic nerve sheath diameter between 5 mm and 6 mm, and 12 patients had optic nerve sheath diameter > 6 mm. In 2 patients with changes in clinical condition, the repeat optic nerve sheath diameter assessment showed an increase in optic nerve sheath diameter. Conclusion: Despite limitations, trained health care providers can perform optic nerve sheath diameter. Longer training time and quality assurance are needed to appreciate the impact. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2214-7519 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2214751923001305; https://doaj.org/toc/2214-7519 |
| DOI: | 10.1016/j.inat.2023.101847 |
| URL الوصول: | https://doaj.org/article/d4ed36b1d7e44cc49c0e92c82b2fdfb1 |
| رقم الأكسشن: | edsdoj.4ed36b1d7e44cc49c0e92c82b2fdfb1 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 22147519 |
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| DOI: | 10.1016/j.inat.2023.101847 |