Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review

The rapid diagnosis of increased intracranial pressure is urgently needed for therapeutic reasons in neurocritically ill children, however this can rarely be achieved without invasive procedures. Point-of-care ultrasound of the optic nerve sheath diameter has been proposed as a non-invasive and reli...

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Main Authors: Jainn-Jim Lin, Aaron E. Chen, Elaina E. Lin, Shao-Hsuan Hsia, Ming-Chou Chiang, Kuang-Lin Lin
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Biomedical Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2319417020300329
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spelling doaj-05d532f814bb4539a334c3dd3c3383032021-04-02T16:33:55ZengElsevierBiomedical Journal2319-41702020-06-01433231239Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative reviewJainn-Jim Lin0Aaron E. Chen1Elaina E. Lin2Shao-Hsuan Hsia3Ming-Chou Chiang4Kuang-Lin Lin5Division of Pediatric Critical Care and Pediatric Neurocritical Care Center, Chang Gung Children's Hospital at Linkou, Taoyuan, Taiwan; Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Pediatric Neurology, Chang Gung Children's Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Pediatric Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; College of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Pediatric Critical Care and Pediatric Neurocritical Care Center, Chang Gung Children's Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanGraduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Neonatology, Chang Gung Children's Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, TaiwanDivision of Pediatric Neurology, Chang Gung Children's Hospital at Linkou, Taoyuan, Taiwan; College of Medicine, Chang Gung University, Taoyuan, Taiwan; Corresponding author. Division of Pediatric Neurology, Chang Gung Children's Hospital at Linkou, 5, Fusing St., Gueishan, Taoyuan 333, Taiwan.The rapid diagnosis of increased intracranial pressure is urgently needed for therapeutic reasons in neurocritically ill children, however this can rarely be achieved without invasive procedures. Point-of-care ultrasound of the optic nerve sheath diameter has been proposed as a non-invasive and reliable means to detect increased intracranial pressure in adults. Accordingly, clinicians may be able to use this technique to initiate early treatment and monitor the effectiveness of treatment in conjunction with other clinical examination and diagnostic modalities. Two meta-analyses and a systematic review have been published on this topic in adults. However, data on the correlation between optic nerve sheath diameter and intracranial pressure in neurocritically ill children are scarce. The aim of this review was to briefly describe what is being measured with point-of-care ultrasound of the optic nerve sheath diameter, summarize the most recent findings from adult literature, and provide an update of current work in children.http://www.sciencedirect.com/science/article/pii/S2319417020300329Point-of-care ultrasoundOptic nerve sheath diameterIntracranial pressurePediatric neurocritical care unit
collection DOAJ
language English
format Article
sources DOAJ
author Jainn-Jim Lin
Aaron E. Chen
Elaina E. Lin
Shao-Hsuan Hsia
Ming-Chou Chiang
Kuang-Lin Lin
spellingShingle Jainn-Jim Lin
Aaron E. Chen
Elaina E. Lin
Shao-Hsuan Hsia
Ming-Chou Chiang
Kuang-Lin Lin
Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
Biomedical Journal
Point-of-care ultrasound
Optic nerve sheath diameter
Intracranial pressure
Pediatric neurocritical care unit
author_facet Jainn-Jim Lin
Aaron E. Chen
Elaina E. Lin
Shao-Hsuan Hsia
Ming-Chou Chiang
Kuang-Lin Lin
author_sort Jainn-Jim Lin
title Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
title_short Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
title_full Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
title_fullStr Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
title_full_unstemmed Point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - A narrative review
title_sort point-of-care ultrasound of optic nerve sheath diameter to detect intracranial pressure in neurocritically ill children - a narrative review
publisher Elsevier
series Biomedical Journal
issn 2319-4170
publishDate 2020-06-01
description The rapid diagnosis of increased intracranial pressure is urgently needed for therapeutic reasons in neurocritically ill children, however this can rarely be achieved without invasive procedures. Point-of-care ultrasound of the optic nerve sheath diameter has been proposed as a non-invasive and reliable means to detect increased intracranial pressure in adults. Accordingly, clinicians may be able to use this technique to initiate early treatment and monitor the effectiveness of treatment in conjunction with other clinical examination and diagnostic modalities. Two meta-analyses and a systematic review have been published on this topic in adults. However, data on the correlation between optic nerve sheath diameter and intracranial pressure in neurocritically ill children are scarce. The aim of this review was to briefly describe what is being measured with point-of-care ultrasound of the optic nerve sheath diameter, summarize the most recent findings from adult literature, and provide an update of current work in children.
topic Point-of-care ultrasound
Optic nerve sheath diameter
Intracranial pressure
Pediatric neurocritical care unit
url http://www.sciencedirect.com/science/article/pii/S2319417020300329
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