Pupillary assessment beside Glasgow coma scale (GCS) is an important part of neurological
assessment because changes in the size, equality and reactivity of the pupils can
provide vital diagnostic information in the critically ill and injured patient [
[1]
]. Pupil index (NPi) is being used as a sensitive measure of pupil reactivity and
an early indicator of increasing intracranial pressure (ICP). Raised ICP may occur
in patients with severe traumatic brain injury (TBI), aneurysmal subarachnoid hemorrhage,
or intracerebral hemorrhage (ICH) and other acute neurological emergencies [
[2]
].Keywords
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References
- Ultrasound in ophthalmology.Ultrasound Med Biol. 1997; 23: 365-375
- The use of automated pupillometry in critical care.Crit Care Nurs Clin North Am. 2016; 28: 101-107
- Ultrasonic evaluation of pupillary light reflex.Crit Ultrasound J. 2009; 1: 53-57
- A study of bedside ocular ultrasonography in the emergency department.Acad Emerg Med. 2009; 9: 791-799
- B-mode ultrasound assessment of pupillary function: feasibility, reliability and normal values.PLoS One. 2017; 12e0189016
- Emerging role of bedside ocular ultrasound in emergency department and intensive care unit.Dev Anaesth Pain Manag. 2018; 1: 1-5
Article Info
Publication History
Published online: January 21, 2019
Accepted:
January 20,
2019
Received:
January 18,
2019
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
