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Ultrasonography of the optic nerve sheath to assess intracranial pressure changes after ventriculo-peritoneal shunt surgery in children with hydrocephalus: a prospective observational study

Authors
 S.-H. Choi  ;  K.-T. Min  ;  E.-K. Park  ;  M.-S. Kim  ;  J.-H. Jung  ;  H. Kim 
Citation
 Anaesthesia, Vol.70(11) : 1268-1273, 2015 
Journal Title
 Anaesthesia 
ISSN
 0003-2409 
Issue Date
2015
Abstract
The optic nerve sheath diameter has been verified by various clinical studies as a non-invasive indicator of intracranial hypertension. The aim of this study was to compare the optic nerve sheath diameter before and immediately after ventriculo-peritoneal shunt surgery in children with hydrocephalus. We analysed transorbital ultrasonographic images recorded after induction of anaesthesia and 30 min after shunt insertion in 34 children, measuring the optic nerve sheath diameters using a linear ultrasound probe. The mean (SD) optic nerve sheath diameters were 5.4 (0.6) mm (right) and 5.3 (0.7) mm (left) before surgery and 4.4 (0.5) mm (right) and 4.5 (0.7) mm (left) after surgery (p < 0.0001 for before and after comparisons for both eyes). The technique allows rapid and non-invasive assessment of intracranial pressure to guide appropriate postoperative management.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141330
DOI
10.1111/anae.13180
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실)
Yonsei Authors
김민수(Kim, Min Soo) ; 민경태(Min, Kyeong Tae) ; 박은경(Park, Eun Kyung) ; 최승호(Choi, Seung Ho)
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Full Text
http://onlinelibrary.wiley.com/doi/10.1111/anae.13180/abstract
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