Ultrasonic measurement of optic nerve sheath diameter evaluation prone position ventilation intracranial pressure change of observational studies
10.3969/j.issn.1006-5725.2018.09.028
- VernacularTitle:超声测量视神经鞘直径评估俯卧位通气时颅内压的变化
- Author:
Shuli HU
1
;
Hao TANG
;
Xuepeng FAN
;
Mei LIU
Author Information
1. 武汉市第一医院重症医学科 武汉 430022
- Keywords:
ultrasonography;
optic nerve sheath diameter;
prone position ventilation;
intracranial pressure
- From:
The Journal of Practical Medicine
2018;34(9):1520-1523
- CountryChina
- Language:Chinese
-
Abstract:
Objective To measure the diameter of optic nerve sheath by ultrasonography to evaluate the change of intracranial pressure(ICP)in prone position ventilation,and to provide basis for prone position ventilation in patients with increased intracranial pressure (ICH). Methods A total of 58 patients with mechanical ventilation were treated with prospective clinical study from 2016.05.01 to 2017.05.01. The patients were treated with different PEEP and different positions(supine position and prone position),and detected optic nerve sheath diameter(ONSD)behind 3 mm of eye 3 mm by bedside ultrasound. The cause inducing increase of ICP was studied through the changes of ONSD and the data was analyzed by the paired t test. Results Prone position had a significant effect on patients with increased intracranial pressure. PEEP had a significant effect on MAP,Ppeak, Pplat,but had no effect on increased intracranial pressure. Conclusions Prone position ventilation significantly affect the ONSD. Therefore ,it weighs the pros and cons when patients with intracranial hypertension were received prone position ventilation.
