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Critical Care
Published in: Critical Care 1/2020

01-12-2020 | Ultrasound | Research Letter

Bedside ultrasound measurement of optic nerve sheath diameter in patients with sepsis: a prospective observational study

Authors: Ziyue Yang, Cuihong Qin, Shuguang Zhang, Shaohua Liu, Tongwen Sun

Published in: Critical Care | Issue 1/2020

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Excerpt

Sepsis-associated encephalopathy (SAE) usually manifests as sleep awakening cycle disturbance, cognitive impairment, delirium, and coma [1]. Considering that brain edema secondary to SAE is one of the complications and causes of death in patients with sepsis, early detection of intracranial hypertension (ICH) is of great significance for timely intervention and improved prognosis. However, most patients with sepsis without intracranial infection have no indications for invasive intracranial pressure (ICP) monitoring; thus, non-invasive ICP monitoring was selected. Bedside ultrasonography measurement of the optic nerve sheath diameter (ONSD) offers a favorable alternative and is presently a new technique [2, 3]. Using this method, we compared the differences in ONSD/ICP between patients with and without SAE, discussed the correlation between ONSD and Glasgow Coma Scale (GCS) score, and evaluated the value of ONSD in predicting the prognosis of patients with sepsis. …
Literature
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Chaudhry N, Duggal AK. Sepsis associated encephalopathy. Adv Med. 2014;2014:762320.CrossRef
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Dubourg J, Javouhey E, Geeraerts T, Messerer M, Kassai B. Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2011;37(7):1059–68.CrossRef
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Robba C, Santori G, Czosnyka M, Corradi F, Bragazzi N, Padayachy L, Taccone FS, Citerio G. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2018;44(8):1284–94.CrossRef
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Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801–10.CrossRef
Metadata
Title
Bedside ultrasound measurement of optic nerve sheath diameter in patients with sepsis: a prospective observational study
Authors
Ziyue Yang
Cuihong Qin
Shuguang Zhang
Shaohua Liu
Tongwen Sun
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2020
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-02959-7

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