Accuracy of ultrasound-determined end-diastolic velocity of central retinal artery in diagnosing postoperative low cerebral perfusion pressure in patients with craniocerebral trauma
10.3760/cma.j.issn.0254-1416.2019.08.021
- VernacularTitle: 超声确定视网膜中央动脉EDV诊断颅脑损伤患者术后低脑灌注压的准确性
- Author:
Mengnan YU
1
;
Yanjun DENG
2
;
Hua LI
2
;
Shigang QIAO
2
;
Chen WANG
2
Author Information
1. Department of Anesthesiology and Perioperative Medicine, Suzhou Hospital Affiliated to Nanjing Medical University(Western District), Suzhou 215153, China
2. Department of Anesthesiology and Perioperative Medicine, Affiliated Suzhou Science and Technology Town Hospital of Nanjing Medical University, Suzhou 215153, China
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Retina;
Arteries;
Blood flow velocity;
Diagnosis;
Craniocerebral trauma;
Cerebrovascular circulation
- From:
Chinese Journal of Anesthesiology
2019;39(8):982-984
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the accuracy of ultrasound-determined end-diastolic velocity (EDV) of central retinal artery (CRA) in diagnosing postoperative low cerebral perfusion pressure (CPP) in the patients with craniocerebral trauma.
Methods:Forty-nine patients of both sexes with brain injury, aged 18-64 yr, with body mass index of 18.5-23.9 kg/m2, were enrolled.The peak systolic velocity and EDV of CRA were determined using ultrasound at 1 day after operation.Mean arterial pressure and intracranial pressure were recorded, and CPP was calculated (CPP=mean arterial pressure-intracranial pressure).
Results:EDV was positively correlated with CPP (r=0.746, P<0.01), and peak systolic velocity was not correlated with CPP (P>0.05). The area under the receiver operating characteristic curve for EDV in diagnosing low CPP was 0.938 (95% confidence interval 0.871-1.000), and the critical value was 3.205 (sensitivity 94.4%, specificity 76.9%).
Conclusion:Ultrasound-determined EDV of central retinal artery can accurately diagnose postoperative low CPP in the patients with craniocerebral trauma.
