Netharland Journal of Critical Care
2019,
Volume 27,
Issue 2
: 81-86
Review
Point-of-care ultrasound of optic nerve sheath diameter to detect elevated intracranial pressure: Ultrasound in the eye of the beholder?
Abstract
Raised intracranial pressure (ICP) is a frequent complication in neurocritically-ill patients. Current diagnostic methods are invasive and have ample drawbacks. Ultrasound of ONSD can be an alternative modality to diagnose and monitor a raised ICP. A thorough search in PubMed/EMBASE was applied to find relevant articles. Two reviewers independently evaluated the relevant articles and extracted the data. The optimal cut-off value of ONSD to detect a raised ICP ranged from 4.7 – 5.7 mm with corresponding sensitivity and specificity rates ranging from 70% - 100% and 31.9% - 100%, respectively. Measurements of ultrasound ONSD showed to be less accurate in presence of fluctuations of ICP values. Ultrasound of ONSD is an accurate, safe, sensitive and specific method to detect a raised ICP. For now, ultrasound of ONSD has its limitations and must not be used as a primary modality to diagnose an elevated ICP and further research is needed. © 2019, Netherlands Society of Intensive Care. All rights reserved.
Keywords
Intracranial pressure
ONSD
Optic nerve sheath diameter
Ultrasound
License
Copyright (c) Netharland Journal of Critical Care
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All papers should be submitted electronically. All submitted manuscripts must be original work that is not under submission at another journal or under consideration for publication in another form, such as a monograph or chapter of a book. Authors of submitted papers are obligated not to submit their paper for publication elsewhere until an editorial decision is rendered on their submission. Further, authors of accepted papers are prohibited from publishing the results in other publications that appear before the paper is published in the Journal unless they receive approval for doing so from the Editor-In-Chief.
Neth. J. Crit. Care open access articles are licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. This license lets the audience to give appropriate credit, provide a link to the license, and indicate if changes were made and if they remix, transform, or build upon the material, they must distribute contributions under the same license as the original.
Recommended Articles
Right ventricular failure: Is it relevant for the intensivist?
Neuropsychological Predictors of Violent Criminal Behavior
Raymond H. Ellis,
Shruti Banerjee,
Kazuo Takayama
1-6
Postoperative renal replacement therapy after hydroxyethyl starch infusion: A meta-analysis of randomised trials
Wilkes M.M.,
Navickis R.J.
4-9
Pocus series: Focused transoesophageal echocardiography, a view from the inside
Elzo Kraemer C.V.,
López Matta J.E.,
Friedericy H.J.,
Elzo Kraemer A.X.,
Tuinman P.R.,
van Westerloo D.J.,
Boogers J.M.J.
130-139