Year in review in Intensive Care Medicine 2014: I. Cardiac dysfunction and cardiac arrest, ultrasound, neurocritical care, ICU-acquired weakness, nutrition, acute kidney injury, and miscellaneous

Citerio, Giuseppe; Bakker, Jan; Bassetti, Matteo; Benoît, Dominique; Cecconi, Maurizio; Curtis, J. Randall; Doig, Gordon S.; Herridge, Margaret S.; Jaber, Samir; Joannidis, Michael; Papazian, Laurent; Perner, Anders; Peters, Mark; Singer, Pierre; Smith, Martin; Soares, Márcio; Torres, Antoni; Vieillard‐Baron, Antoine; Timsit, Jean‐François; Azoulay, Élie

doi:10.1007/s00134-015-3665-9

Cited by 6 publications

(4 citation statements)

References 79 publications

(79 reference statements)

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“…Hospital mortality of patients post-cardiac arrest resuscitation remains particularly high, ranging from 40% to 90% [1][2][3][4][5][6][7][8][9]. The main causes of death are multiorgan failure within the first hours following the return of spontaneous circulation and neurological damage (mainly anoxic cerebral lesions) several days later [10].…”

Section: Introductionmentioning

confidence: 99%

Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock post-cardiac arrest

et al. 2016

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Among 94 patients implanted with VA-ECMO for refractory cardiogenic shock post-cardiac arrest resuscitation, the 24 (27 %) 1-year survivors had good neurological outcomes, but survival was significantly better for patients with admission SOFA scores <14, shockable rhythm, and INR ≤2.4. VA-ECMO might be considered a rescue therapy for patients with refractory cardiogenic shock post-cardiac arrest resuscitation.

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Section: Introductionmentioning

confidence: 99%

Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock post-cardiac arrest

et al. 2016

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“…2 The "criterion standard" method for monitoring intracranial pressure (ICP) includes using invasive, intraparenchymal, or intraventricular devices that are often only available in specialist neurocritical care units. 3 These monitoring techniques can result in complications, such as bacterial colonization and hemorrhaging, [4][5][6][7] and can be painful for the patient, especially if repeated evaluations are needed; thus, they are not ideal. Hence, noninvasive, repeatable, and simple methods of assessing ICP are urgently needed.…”

mentioning

confidence: 99%

Ultrasonography Assessments of Optic Nerve Sheath Diameter as a Noninvasive and Dynamic Method of Detecting Changes in Intracranial Pressure

et al. 2018

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IMPORTANCE The crtierion standard method for monitoring intracranial pressure (ICP) can result in complications and pain. Hence, noninvasive, repeatable methods would be valuable. OBJECTIVE To examine how ultrasonographic optic nerve sheath diameter (ONSD) correlated with noninvasive and dynamically monitored ICP changes. DESIGN, SETTING, AND PARTICIPANTS The ONSD was measured before the lumbar puncture (LP) in 60 patients on admission. Patients with elevated ICP were divided into group 1 (200 < LP Յ 300 mm H 2 O) and group 2 (LP > 300 mm H 2 O). Patients underwent follow-up ONSD and LP measurements within 1 month. We analyzed the correlations between the ONSD and ICP on admission and between the changes in ONSD and ICP, which were the respective changes in ONSD and ICP from admission to follow-up. MAIN OUTCOMES AND MEASURES The ultrasonographic ONSD and ICP were measured on admission and follow-up. The correlations between the ONSD and ICP on admission and between the changes in ONSD and ICP were analyzed using Pearson correlation analyses. RESULTS For 60 patients (Han nationality; mean [SD] age, 36.2 [12.04] years; 29 [48%] female) on admission, the ONSD and ICP values were strongly correlated, with an r of 0.798 (95% CI, 0.709-0.867; P < .001). Twenty-five patients with elevated ICP who completed the follow-up were included. The mean (SD) ONSD and ICP on admission were 4.50 (0.54) mm and 302.40 (54.26) mm H 2 O, respectively. The ONSD and ICP values obtained on admission were strongly correlated , with an r of 0.724 (95% CI, 0.470-0.876; P < .001). The mean (SD, range) changes in ICP and ONSD were 126.64 (52.51 mm H 2 O, 20-210 mm H 2 O) (95% CI, 106.24-146.07) and 1.00 (0.512 mm, 0.418-2.37 mm) (95% CI, 0.83-1.20), respectively. The change in ONSD was strongly correlated with the change in ICP, with an r of 0.702 (95% CI, 0.425-0.870; P < .001). The follow-up evaluations revealed that the elevated ICP and dilated ONSD had returned to normal, and no evidence of difference was found in the mean ONSDs between group 1 (3.49 mm; 95% CI, 3.34-3.62 mm) and group 2 (3.51 mm; 95% CI, 3.44-3.59 mm) (P = .778) at follow-up. CONCLUSIONS AND RELEVANCE The dilated ONSDs decreased along with the elevated ICP reduction. Ultrasonographic ONSD measurements may be a useful, noninvasive tool for dynamically evaluating ICP.

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“…Although there are other methods of assessing ICP accurately, all of them have several disadvantages in comparison to ultrasonographic ONSD measurement. For example, while invasive ICP monitoring can provide accurate ICP assessment, it is often only available in specialist neurocritical care units 12 . Because of its invasiveness, this technique may result in complications such as hemorrhage, bacterial colonization, and pain for the patient, especially when repeated assessments are reqiured 9,13 .…”

Section: Discussionmentioning

confidence: 99%

Optic nerve sheath diameter ultrasonography for elevated intracranial pressure detection

Wang

Chen

et al. 2020

Ann Clin Transl Neurol

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Ultrasonographically measured optic nerve sheath diameter measurement has become a common noninvasive approach for detecting elevated intracranial pressure. We present a case of aneurysmal subarachnoid hemorrhage with elevated intracranial pressure. Postoperative arachnoiditis developed, and lumbar puncture revealed low intracranial pressure. However, ultrasonography revealed a dilated optic nerve sheath, denoting elevated intracranial pressure. This was confirmed by computed tomography showing ventricular dilation. Ophthalmoscopy revealed papilledema and hemorrhage. This case study demonstrated that noninvasive bedside ultrasonographic optic nerve sheath diameter measurement can detect elevated intracranial pressure more accurately than lumbar puncture, especially in cases with intracranial infection.

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Year in review in Intensive Care Medicine 2014: I. Cardiac dysfunction and cardiac arrest, ultrasound, neurocritical care, ICU-acquired weakness, nutrition, acute kidney injury, and miscellaneous

Cited by 6 publications

References 79 publications

Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock post-cardiac arrest

Venoarterial extracorporeal membrane oxygenation for refractory cardiogenic shock post-cardiac arrest

Ultrasonography Assessments of Optic Nerve Sheath Diameter as a Noninvasive and Dynamic Method of Detecting Changes in Intracranial Pressure

Optic nerve sheath diameter ultrasonography for elevated intracranial pressure detection

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