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J Pediatr Intensive Care 2021; 10(01): 014-022
DOI: 10.1055/s-0040-1716385
Review Article

Is Ocular Sonography a Reliable Method for the Assessment of Elevated Intracranial Pressure in Children?

Dincer Yildizdas 
1   Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Turkey
,
Nagehan Aslan 
1   Department of Pediatric Intensive Care, Faculty of Medicine, Cukurova University, Adana, Turkey
› Author Affiliations Funding None.
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Abstract

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.

Keywords

optic nerve sheath diameter - orbital artery Doppler indices - pediatric intensive care unit - point-of-care ultrasound


Publication History

Received: 07 May 2020

Accepted: 21 May 2020

Article published online:
07 September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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