Point-of-care Ultrasonography in Critically Ill Patients

Gs, Shrestha

doi:10.3126/kumj.v13i1.13761

Cited by 5 publications

(4 citation statements)

References 50 publications

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“…Measurement of ONSD is rapidly gaining popularity as it is quick, easily available and has a short learning curve. The optic nerve sheath is continuous with dura mater, and subarachnoid compartment of optic nerve communicates with that of brain so that any increase in ICP causes expansion of ONSD (9) .…”

Section: Discussionmentioning

confidence: 99%

Monitoring Osmotherapy in Traumatic Brain Injury Patients: Correlation Between Ultrasound Assessment of Optic Nerve Sheath Diameter and Computed Tomography Scan

Amin

Alkady

Elmorshedy³

et al. 2021

Ain Shams Medical Journal

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Background: Traumatic brain injury has been one of the leading causes of morbidity, disability and mortality across all ages, globally, more than 50 million individuals suffer from TBIs each year. In Egypt it poses a major public health problem, representing 17.2% of trauma patients. Intracranial pressure is a major predictor of neurological deterioration in patients with TBI and post-traumatic intracranial hypertension is being associated with poor neurological outcome. Aim of the Work: To compare ultrasound assessment of optic nerve sheath diameter as a monitoring tool of adequacy of brain dehydration by osmotherapy in traumatic brain injury in comparisonto the current standard of using brain CT. Patients and Methods:This study is a Prospective Observational study was conducted on 30 participants. All patients were polytrauma after road traffic accident with traumatic brain injury and were recruited from intensive care unit in Ain Shams University Hospitals during the period of February 2021 to May 2021.Results: There was highly statistically significant decrease in right ONSD and left ONSD before and after mannitol from day 1 to day 3. There was highly statistically significant decrease in brain edema from day 1 to day 3 after osmotherapy. There was highly statistically significant relation found between CT brain edema and right ONSD and left ONSD before and after mannitol administration in third day, as CT brain already positive in first and second day. Conclusion:We concluded that ONSD could be used as a tool to evaluate the efficacy and successful treatment by dehydrating measures in cases of increased ICP and can be utilized as a tool for decision making and point-of-care utility.

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Section: Discussionmentioning

confidence: 99%

Monitoring Osmotherapy in Traumatic Brain Injury Patients: Correlation Between Ultrasound Assessment of Optic Nerve Sheath Diameter and Computed Tomography Scan

Amin

Alkady

Elmorshedy³

et al. 2021

Ain Shams Medical Journal

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“…For pulmonary embolisms, LUS exams can show the pulmonary infarction area, defined as triangular or rounded, hypoechoic, homogeneous subpleural consolidation [39]. A meta-analysis by Squizzato et al [40] revealed an overall 87% sensitivity and 82% specificity for pulmonary embolism diagnoses using LUS examinations.…”

Section: Pulmonary Embolismmentioning

confidence: 99%

The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting

D’Andrea

Giudice

Fabiani

et al. 2023

IJERPH

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Point-of-care ultrasonography (POCUS) represents a goal-directed ultrasound examination performed by clinicians directly involved in patient healthcare. POCUS has been widely used in emergency departments, where US exams allow physicians to make quick diagnoses and to recognize early life-threatening conditions which require prompt interventions. Although initially meant for the real-time evaluation of cardiovascular and respiratory pathologies, its use has been extended to a wide range of clinical applications, such as screening for deep-vein thrombosis and trauma, abdominal ultrasonography of the right upper quadrant and appendix, and guidance for invasive procedures. Moreover, recently, bedside ultrasounds have been used to evaluate the fluid balance and to guide decongestive therapy in acutely decompensated heart failure. The aim of the present review was to discuss the most common applications of POCUS in the emergency setting.

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“…As the optic nerve sheath is continuous with dura mater, and subarachnoid compartment of optic nerve communicates with that of brain, any increase in ICP causes expansion of ONSD. [95][96] Measurement made 3 mm behind the globe is most optimal. 97 Inter-individual variation makes cut-off value hard to define and have ranged from 4.8-6.0mm with a sensitivity of 36-90% and specificity of 38-100%.…”

Section: Icp Monitoringmentioning

confidence: 99%

Management of intracranial hypertension: Recent advances and future directions

Shrestha

Pradhan

2017

Bangladesh Crit Care J

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Intracranial hypertension is a major cause of morbidity and mortality in critically ill patients. Great deal of research has been done with the goal to improve patient outcome, but the challenges are enormous. From basic managementlike sedation and analgesia, to higher tier therapies, there are mixed evidences, some indicating these interventions to be beneficial and some to be equivocal, but the paucity of high-quality trials limits strong recommendations. This review will try to analyze the extensive literature regarding management of raised intracranial pressure, with particular focus on recent advances and will also try to shed some light on future directions.Bangladesh Crit Care J March 2017; 5(1): 53-62

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Point-of-care Ultrasonography in Critically Ill Patients

Cited by 5 publications

References 50 publications

Monitoring Osmotherapy in Traumatic Brain Injury Patients: Correlation Between Ultrasound Assessment of Optic Nerve Sheath Diameter and Computed Tomography Scan

Monitoring Osmotherapy in Traumatic Brain Injury Patients: Correlation Between Ultrasound Assessment of Optic Nerve Sheath Diameter and Computed Tomography Scan

The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting

Management of intracranial hypertension: Recent advances and future directions

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