ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES

Objective: To know the efficacy of transocular ultrasound (TOU) in identification of elevated intracranial pressure (eICP) and early prediction of intracranial bleed in traumatic brain injuries (TBI). Study Design: Descriptive study. Place and Duration of Study: Department of Anaesthesiology a...

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Autores principales:	Muhammad Asim Ghauri, Ahmed Mujadid Khan Burqi, Anum Sultan, Hassan Masood, Muhammad Umer Hayyat, Muhammad Awais Qarni
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	intracranial bleed intracranial pressure optic nerve sheath diameter Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b5c3b68171ba498dbb65158e83e68946
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spelling	oai:doaj.org-article:b5c3b68171ba498dbb65158e83e689462021-11-12T03:35:51ZROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES0030-96482411-8842https://doaj.org/article/b5c3b68171ba498dbb65158e83e689462019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3032/2270https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To know the efficacy of transocular ultrasound (TOU) in identification of elevated intracranial pressure (eICP) and early prediction of intracranial bleed in traumatic brain injuries (TBI). Study Design: Descriptive study. Place and Duration of Study: Department of Anaesthesiology and Critical Care Combined Military Hospital Rawalpindi, from Jan 2017 to Dec 2017. Subjects and Methods: This study was conducted after approval from the ethical committee. Total 60 patientswith traumatic brain injuries having Glasgow Coma Scale <9, 20-60 years of age and previous no history of head and facial trauma, were included in this study by non-probability purposive sampling. The patients were assessed systematically and their optic nerve sheath diameter (ONSD) was measured through transocular ultrasonograhy. The examination was performed over a closed eyelid in the supine position with head of bed elevated 30°. The optic nerve sheath diameter was measured 3mm posterior to the optic disk in two orthogonal planes with the probe held perpendicular to the coronal plane of the globe. Optic nerve sheath diameter of >0.5cm was taken as an elevated intracranial pressure and a predictor of CT findings of sub arachnoid hemorrhage, subdural hematoma, extradural hematoma and cerebral edema. Results: Mean OND of right and left eye were 0.5895 ± 0.059 cm and 0.5735 ± 0.078 cm respectively in patients of traumatic brain injury. The results are significant as OND was >0.5cm and showed increased intracranial pressures in patients with traumatic brain injuries. Conclusion: Use of transocular ultrasonography can detect elevated intracranial pressures quiet early. It is a noninvasive procedure, and can easily be inducted in early surveillance of traumatic brain injuries to reduce morbidity and mortality.Muhammad Asim GhauriAhmed Mujadid Khan BurqiAnum SultanHassan MasoodHassan MasoodMuhammad Umer HayyatMuhammad Awais QarniArmy Medical College Rawalpindiarticleintracranial bleedintracranial pressureoptic nerve sheath diameterMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 589-594 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	intracranial bleed intracranial pressure optic nerve sheath diameter Medicine R Medicine (General) R5-920
spellingShingle	intracranial bleed intracranial pressure optic nerve sheath diameter Medicine R Medicine (General) R5-920 Muhammad Asim Ghauri Ahmed Mujadid Khan Burqi Anum Sultan Hassan Masood Hassan Masood Muhammad Umer Hayyat Muhammad Awais Qarni ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
description	Objective: To know the efficacy of transocular ultrasound (TOU) in identification of elevated intracranial pressure (eICP) and early prediction of intracranial bleed in traumatic brain injuries (TBI). Study Design: Descriptive study. Place and Duration of Study: Department of Anaesthesiology and Critical Care Combined Military Hospital Rawalpindi, from Jan 2017 to Dec 2017. Subjects and Methods: This study was conducted after approval from the ethical committee. Total 60 patientswith traumatic brain injuries having Glasgow Coma Scale <9, 20-60 years of age and previous no history of head and facial trauma, were included in this study by non-probability purposive sampling. The patients were assessed systematically and their optic nerve sheath diameter (ONSD) was measured through transocular ultrasonograhy. The examination was performed over a closed eyelid in the supine position with head of bed elevated 30°. The optic nerve sheath diameter was measured 3mm posterior to the optic disk in two orthogonal planes with the probe held perpendicular to the coronal plane of the globe. Optic nerve sheath diameter of >0.5cm was taken as an elevated intracranial pressure and a predictor of CT findings of sub arachnoid hemorrhage, subdural hematoma, extradural hematoma and cerebral edema. Results: Mean OND of right and left eye were 0.5895 ± 0.059 cm and 0.5735 ± 0.078 cm respectively in patients of traumatic brain injury. The results are significant as OND was >0.5cm and showed increased intracranial pressures in patients with traumatic brain injuries. Conclusion: Use of transocular ultrasonography can detect elevated intracranial pressures quiet early. It is a noninvasive procedure, and can easily be inducted in early surveillance of traumatic brain injuries to reduce morbidity and mortality.
format	article
author	Muhammad Asim Ghauri Ahmed Mujadid Khan Burqi Anum Sultan Hassan Masood Hassan Masood Muhammad Umer Hayyat Muhammad Awais Qarni
author_facet	Muhammad Asim Ghauri Ahmed Mujadid Khan Burqi Anum Sultan Hassan Masood Hassan Masood Muhammad Umer Hayyat Muhammad Awais Qarni
author_sort	Muhammad Asim Ghauri
title	ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
title_short	ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
title_full	ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
title_fullStr	ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
title_full_unstemmed	ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES
title_sort	role of transocular ultrasound in identifying raised intracranial pressure and predicting intracranial bleed in traumatic brain injuries
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/b5c3b68171ba498dbb65158e83e68946
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ROLE OF TRANSOCULAR ULTRASOUND IN IDENTIFYING RAISED INTRACRANIAL PRESSURE AND PREDICTING INTRACRANIAL BLEED IN TRAUMATIC BRAIN INJURIES

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