logo_hcam

Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

Revista Médica Científica CAMbios Vol. 18(1) Ene-Jun 2019
Ver PDF (Spanish)
Ver HTML (Spanish)

Keywords

Optic Nerve
Hypertension
Ultrasound Therapy
Observational
Study
Craniocerebral trauma
Ecuador

How to Cite

1.
Validation of the ultrasound evaluation of the optic nerve sheath for the quantification of intracranial pressure at high altitudes. Cambios rev. méd. [Internet]. 2019 Jun. 28 [cited 2025 Oct. 26];18(1):58-62. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/387

Abstract

INTRODUCTION. Measuring the diameter of the optic nerve sheath through the eye window can be a non-invasive method for the detection of endocranial hypertension. OBJECTIVE. This work was to validate a formula for quantifying intracranial pressure from the ultrasound evaluation of the optic nerve sheath in a high-altitude city. MATERIALS AND METHODS. Prospective study of 27 patients with severe cranioencephalic trauma in whom an intraventricular intracranial pressure sensor was placed and the calculation of non-invasive ICP was performed by correlation using the evaluation of the optic nerve sheath through ultrasound and applying a formula of calculation. RESULTS. Weak positive correlation with statistical significance. CONCLUSION. Quantification of non-invasive intracranial pressure through the evaluation of the optic nerve sheath by ultrasound could be a useful tool in highaltitude cities above sea level.

Ver PDF (Spanish)
Ver HTML (Spanish)

References

REFERENCIAS BIBLIOGRÁFICAS

Chad M. Miller, Michel T. Torbey. Neurocritical care monitoring. Columbus, Ohio: Demos Medical Publishing, LLC; 2015.

Yuan Q, Wu X, Sun Y, Yu J, Li Z, Du Z, et al. Impact of intracranial pressure monitoring on mortality in patients with traumatic brain injury: a systematic review and meta-analysis. J Neurosurg[Internet]. 2015 Mar 1[cited 2018 May 10];122(3):574-87. DOI: 10.3171/2014.10.JNS1460. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25479125

Suarez J. Critical Care Neurology and Neurosurgery. Humana Press Inc[Internet]. 2004[cited 2018 May 10];15(1):631. DOI:10.1007/978-1-59259-660-7. ISBN 978-1-59259-660-7. Available from: https://www.springer.com/gp/book/9781588290892

Rønning P, Helseth E, Skaga N, Stavem K, Langmoen IA. The effect of ICP monitoring in severe traumatic brain injury: a propensity score–weighted and adjusted regression approach. J Neurosurg[Internet]. 2018 Dec 21[cited 2018 May 20];1(aop):1-9. DOI: https://doi.org/10.3171/2018.7.JNS18270. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30579278

Carney N, Totten AM, O’Reilly C, Ullman JS, Hawryluk GWJ, Bell MJ, et al. Guidelines for the Management of Severe Traumatic Brain Injury , Fourth Edition . Neurosurgery [Internet]. 2017 Jan [cited 2018 May 16];80(1):6-15. DOI: 10.1227/NEU.0000000000001432. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27654000

Kochanek PM, Tasker RC, Bell MJ, Adelson PD, Carney N, Vavilala MS, et al. Management of Pediatric Severe Traumatic Brain Injury: 2019 Consensus and Guidelines-Based Algorithm for First and Second Tier Therapies. Pediatr Crit Care Med[Internet]. 2019 Mar[cited 2018 May 16];20(3):269-279. DOI: 10.1097/PCC.0000000000001737. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30830015

Cardenas A, Roca J.Tratado de Medicina Intensiva Cárdenas. Else.vier[Internet]. [cited Oct 2018];1:1064. ISBN: 978-84-9022-896-8. Disponible en: http://booksmedicos.org/tratado-de-medicina-intensiva-cardenas/

Pinto VL, Tadi P, Adeyinka A. Increased Intracranial Pressure. En: StatPearls [Internet]. 2019 Mar 26 [cited 2018 Aug 30]. PMID: 29489250. Disponible en: http://www.ncbi.nlm.nih.gov/books/NBK482119/

Czosnyka M, Robba C. Invasive vs non-invasive icpmonitoring based on a combination of onsd and tcd methods in brain injured patients. Rev [Internet]. 2015 Oct[cited Nov 10];1:1-29. Available from: https://journals.plos.org/plosmedicine/article/file?type=supplementary&id=info:doi/10.1371/journal.pmed.1002356.s004

Robba C, Santori G, Czosnyka M, Corradi F, Bragazzi N, Padayachy L, et al. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: a systematic review and meta-analysis. Intensive Care Med[Internet]. 2018 Agu[cited 2018 Dic 11];44(8):1284-1294. DOI: 10.1007/s00134-018-5305-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/30019201

Ocular Ultrasound in Emergency Medicine [Internet]. LITFL • Life in the Fast Lane Medical Blog. 2010 [citado 2 de agosto de 2018]. Disponible en: https://lifeinthefastlane.com/ophthalmology-befuddler-015/

Ochoa L, Cardozo A. Aplicaciones de la ultrasonografía en el sistema nervioso central para neuroanestesia y cuidado neurocrítico. Rev Colomb Anestesiol[Internet]. 2015 Oct[cited 2019 Jan 10];43(4):314-320. DOI: http://dx.doi.org/10.1016/j.rca.2015.03.009. Available from: https://www.redalyc.org/pdf/1951/195143440009.pdf

Jahns F-P, Miroz JP, Messerer M, Daniel RT, Taccone FS, Eckert P, et al. Quantitative pupillometry for the monitoring of intracranial hypertension in patients with severe traumatic brain injury. Critcal Care[Internet]. 2019 May 02[cited 2019 Jan 16];23(1):155. DOI: https://doi.org/10.1186/s13054-019-2436-3. Available from: https://ccforum.biomedcentral.com/articles/10.1186/s13054-019-2436-3

Wang L, Yao Y, Feng L, Wang Y, Zheng N, Feng J, et al. Noninvasive and quantitative intracranial pressure estimation using ultrasonographic measurement of optic nerve sheath diameter. Sci Rep [Internet]. 2017 Feb 07 [cited 2019 Mar 12];7(7):42063. PMID: 28169341. PMCID: PMC5294647 DOI: 10.1038/srep42063. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28169341

Jeon JP, Lee SU, Kim S-E, Kang SH, Yang JS, Choi HJ, et al. Correlation of optic nerve sheath diameter with directly measured intracranial pressure in Korean adults using bedside ultrasonography. PLoS One[Internet]. 2017 Sep 13[cited 2018 Mar 14];12(9):e0183170. DOI: 10.1371/journal.pone.0183170. e0183170. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28902893

Confederación Latino, Americana de Sociedades, de Anestesia. Manual de Anestesia en la Altura La Paz Bolivia [Internet]. Bolivia; 2013[cited Mar 20]. Disponible en: https://docplayer.es/39390644-Manual-de-anestesia-en-la-altura.html

Carrillo RC, Florez ÓI, Peña CA, Carrillo LD, Carrillo JR, Carrillo CA, et al. Evaluación ultrasonográfica del diámetro de la vaina del nervio óptico (DVNO) para la medición de la presión intracraneana (PIC): a propósito de un caso. Gac Médica México[Internet]. 2014[cited Mar 20];150:165-70. Available from: https://www.anmm.org.mx/GMM/2014/n2/GMM_150_2014_2_165-170.pdf

Toit GJ du, Hurter D, Nel M. How accurate is ultrasound of the optic nerve sheath diameter performed by inexperienced operators to exclude raised intracranial pressure? S Afr J Radiol[Internet]. 2015 Aug 7[cited 2019 May 10];19(1):5. DOI: http://dx.doi.org/10.4102/sajr.v19i1.745. Available from: https://sajr.org.za/index.php/sajr/article/view/745/997

Chen L, Wang L, Hu Y, Jiang X, Wang Y, Xing Y. Ultrasonic measurement of optic nerve sheath diameter: a non-invasive surrogate approach for dynamic, real-time evaluation of intracranial pressure. Br J Ophthalmol [Internet]. 2019[cited 2019 Jun 10];103(4):437-441. DOI: http://dx.doi.org/10.1136/bjophthalmol-2018-312934. Available from: https://bjo.bmj.com/content/103/4/437

Toscano M, Spadetta G, Pulitano P, Rocco M, Di Piero V, Mecarelli O, et al. Optic Nerve Sheath Diameter Ultrasound Evaluation in Intensive Care Unit: Possible Role and Clinical Aspects in Neurological Critical Patients’ Daily Monitoring. Biomed Res Int[Internet]. 2017[cited 2019 Jun 10];2017:1621428. DOI: 10.1155/2017/1621428. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28421189

 

The authors who publish in this journal accept the following conditions:

1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.

2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.