Using Optic Nerve Sheath Diameter for Intracranial Pressure (ICP) Monitoring in Traumatic Brain Injury: A Scoping Review
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Published:2023-12-19
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ISSN:1541-6933
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Container-title:Neurocritical Care
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language:en
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Short-container-title:Neurocrit Care
Author:
Martínez-Palacios KarolORCID, Vásquez-García SebastiánORCID, Fariyike Olubunmi A.ORCID, Robba ChiaraORCID, Rubiano Andrés M.ORCID, Taccone Fabio Silvio, Rasulo Frank, Badenes R Rafael, Menon David, Sarwal A Aarti, Cardim D Danilo, Czosnyka Marek, Hirzallah Mohammad, Geeraerts Thomas, Bouzat Pierre, Lochner Pier G., Aries Marcel, Wong Yu Lin, Abulhassan Yasser, Sung Gene, Prabhakar Hemanshu, Shrestha Gentle, Bustamante Luis, Jibaja Manuel, Pinedo Juan, Sanchez Diana, Mendez Julio Mijangos, Vásquez Franly, Shukla Dhaval P., Worku Getaw, Tirsit Abenezer, Indiradevi Bhagavatula, Shabani Hamisi, Adeleye Amos, Munusamy Thangaraj, Ain Amelia, Paiva Wellingson, Godoy Daniel, Brasil Sérgio, Robba Chiara, Rubiano Andrés, Vásquez-García Sebastián,
Abstract
Abstract
Introduction
Neuromonitoring represents a cornerstone in the comprehensive management of patients with traumatic brain injury (TBI), allowing for early detection of complications such as increased intracranial pressure (ICP) [1]. This has led to a search for noninvasive modalities that are reliable and deployable at bedside. Among these, ultrasonographic optic nerve sheath diameter (ONSD) measurement is a strong contender, estimating ICP by quantifying the distension of the optic nerve at higher ICP values. Thus, this scoping review seeks to describe the existing evidence for the use of ONSD in estimating ICP in adult TBI patients as compared to gold-standard invasive methods.
Materials and Methods
This review was conducted in accordance with the Joanna Briggs Institute methodology for scoping reviews, with a main search of PubMed and EMBASE. The search was limited to studies of adult patients with TBI published in any language between 2012 and 2022. Sixteen studies were included for analysis, with all studies conducted in high-income countries.
Results
All of the studies reviewed measured ONSD using the same probe frequency. In most studies, the marker position for ONSD measurement was initially 3 mm behind the globe, retina, or papilla. A few studies utilized additional parameters such as the ONSD/ETD (eyeball transverse diameter) ratio or ODE (optic disc elevation), which also exhibit high sensitivity and reliability.
Conclusion
Overall, ONSD exhibits great test accuracy and has a strong, almost linear correlation with invasive methods. Thus, ONSD should be considered one of the most effective noninvasive techniques for ICP estimation in TBI patients.
Funder
Universidad El Bosque
Publisher
Springer Science and Business Media LLC
Subject
Critical Care and Intensive Care Medicine,Neurology (clinical)
Reference46 articles.
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