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Ultrasonographic assessment of optic nerve sheath diameter during pediatric laparoscopy

Authors
 Ji Young Min  ;  Jeong-Rim Lee  ;  Jung-Tak Oh  ;  Min-Soo Kim  ;  Eun-Kyung Jun  ;  Jiwon An 
Citation
 Ultrasound in Medicine and Biology, Vol.41(5) : 1241-1246, 2015 
Journal Title
 Ultrasound in Medicine and Biology 
ISSN
 0301-5629 
Issue Date
2015
Abstract
This study investigated the extent of the raised intracranial pressure resulting from carbon dioxide (CO2) pneumoperitoneum by ultrasonographically measuring optic nerve sheath diameter (ONSD) in children undergoing laparoscopic surgery. Twenty-five children aged less than 9 y (53.1 ± 23.3 mo, mean ± standard deviation) and scheduled for an elective laparoscopic surgery participated. ONSD was assessed using ocular ultrasonography 10 min after induction of anesthesia (T0), 10 min after induction of CO2 pneumoperitoneum at 10 mm Hg intra-abdominal pressure (T1) and in an anesthetized state without CO2 pneumoperitoneum at the conclusion of the surgery (T2). During CO2 pneumoperitoneum, ONSD increased significantly compared with ONSD after anesthesia induction (T0: 4.3 ± 0.3 mm, T1: 4.6 ± 0.3 mm, p < 0.05). In all enrolled patients, any neurologic complications were not observed during the intra-operative or post-operative period. In children undergoing laparoscopic surgery, an increase in ONSD was ascertained during CO2 pneumoperitoneum, and thus the corresponding increase in intracranial pressure could be predicted.
Full Text
http://www.sciencedirect.com/science/article/pii/S030156291500040X
DOI
10.1016/j.ultrasmedbio.2015.01.009
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Soo(김민수) ORCID logo https://orcid.org/0000-0001-8760-4568
Min, Ji Young(민지영)
An, Ji Won(안지원)
Oh, Jung Tak(오정탁)
Lee, Jeong Rim(이정림) ORCID logo https://orcid.org/0000-0002-7425-0462
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140078
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