Bhide M, Singh O, Juneja D, Goel A. Bedside ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure in nontraumatic neuro-critically ill patients. World J Crit Care Med 2023; 12(1): 10-17 [PMID: 36683966 DOI: 10.5492/wjccm.v12.i1.10]
Corresponding Author of This Article
Deven Juneja, DNB, FCCP, MBBS, Director, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, 1, Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Jan 9, 2023; 12(1): 10-17 Published online Jan 9, 2023. doi: 10.5492/wjccm.v12.i1.10
Bedside ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure in nontraumatic neuro-critically ill patients
Madhura Bhide, Omender Singh, Deven Juneja, Amit Goel
Madhura Bhide, Omender Singh, Deven Juneja, Amit Goel, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, New Delhi 110017, India
Author contributions: Bhide M and Juneja D designed the study. Bhide M and Goel A collected the data. Bhide M and Juneja D analysed the results, performed the majority of the writing, and prepared the tables; Singh O, and Goel A provided the inputs in writing the paper and reviewed the manuscript.
Institutional review board statement: The study was approved by the institutional review board of Max Super Speciality Hospital, Saket (TS/MSSH/MHIL/SKT/MHEC/CC/20-16).
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Data sharing statement: There is no additional data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Deven Juneja, DNB, FCCP, MBBS, Director, Institute of Critical Care Medicine, Max Super Speciality Hospital, Saket, 1, Press Enclave Road, New Delhi 110017, India. devenjuneja@gmail.com
Received: November 4, 2022 Peer-review started: November 4, 2022 First decision: November 30, 2022 Revised: December 5, 2022 Accepted: December 23, 2022 Article in press: December 23, 2022 Published online: January 9, 2023 Processing time: 60 Days and 2.9 Hours
Core Tip
Core Tip: Raised intracranial pressure (ICP) maybe present in a significant proportion of neuro-critically ill patients and any delay in its management may lead to poor outcomes. Even though the gold standard for measuring raised ICP is the intraventricular catheter, it is invasive, not widely available, requires expertise in insertion and maintenance and may be associated with many risks. Hence, non-invasive methods like computed tomography scan or magnetic resonance imaging are being increasingly used to diagnose raised ICP. However, their utility is also restricted by logistical issues and have limited repeatability. Bedside ultrasonography measuring optic nerve sheath diameter (ONSD) can be used as a screening test to detect raised ICP and as a trigger to initiate further management. ONSD can also be beneficial in ruling out a diagnosis in a low-prevalence population and rule in a diagnosis in a high-prevalence population.
