perioperative monitoring of intracranial pressure using optic nerve sheath diameter in paediatric liver transplantation

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ID: 136617
2018
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Ranked #5 of 138 articles by views in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association

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Abstract
An elevation of intracranial pressure (ICP) secondary to cerebral oedema is a major contributor to morbidity and mortality in acute liver failure (ALF). We present a case of ICP monitoring with ocular ultrasonography in a 2-year-old child with ALF for liver transplantation. Since invasive ICP monitoring was risky considering the level of coagulopathy, optic nerve sheath diameter (ONSD) monitoring was done by ultrasound. A value of 4.5 mm was chosen as the cut-off for an ICP >20 mmHg in this child and was checked at regular intervals during the surgery. Ultrasonographic ONSD assessment can be a useful modality in liver transplant recipients, with severe coagulopathy and high ICP. In our specific patient scenario, ocular ultrasound proved to be a valuable safe and noninvasive monitoring tool in this paediatric patient.
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Authors Atish Pal, Purnima Dhar, Neerav Goyal
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Journal Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association
Year 2018
DOI
10.4103/ija.IJA_104_18
URL
http://www.ijaweb.org/article.asp?issn=0019-5049;year=2018;volume=62;issue=11;spage=892;epage=895;aulast=Pal
Keywords
anesthesiology acute liver failure intracranial pressure monitoring

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