Open AccessIs Ocular Sonography a Reliable Method for the Assessment of Elevated Intracranial Pressure in Children?
Author(s) -
Dinçer Yıldızdaş,
Nagehan Aslan
Publication year - 2020
Publication title -
journal of pediatric intensive care
Language(s) - English
Resource type - Journals
eISSN - 2146-4618
pISSN - 2146-4626
DOI - 10.1055/s-0040-1716385
Subject(s) - medicine , intensive care , intracranial pressure , point of care ultrasound , ophthalmic artery , ultrasound , optic nerve , central retinal artery , radiology , intracranial pressure monitoring , intensive care medicine , ophthalmology , blood flow
Point-of-care ultrasound has been widely used by clinicians at the bedside in recent years. Various types of point-of-care ultrasound practices are employed, especially in pediatric emergency rooms and intensive care units. Pediatric intensive care specialists perform point-of-care ultrasound virtually as a part of physical examination since it provides just-in-time vital clinical information, which could assist in acute management strategies in critically ill patients. Measurement of optic nerve sheath diameter using point-of-care ultrasound is a noninvasive and radiation-free technique to determine raised intracranial pressure. Ophthalmic artery and central retinal artery Doppler indices can be used as transcranial Doppler to assess raised intracranial pressure. The aim of this review was to provide detailed information on ultrasonographic measurements of optic nerve sheath diameter and central retinal artery Doppler indices as techniques of interest for predicting increased intracranial pressure in pediatric patients in view of the literature.