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

Autor: Muhammad Asim Ghauri, Ahmed Mujadid Khan Burqi, Anum Sultan, Hassan Masood, Muhammad Umer Hayyat, Muhammad Awais Qarni
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Pakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 589-594 (2019)
Druh dokumentu: article
ISSN: 0030-9648
2411-8842
Popis: 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 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.
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