Show simple item record

dc.contributor.authorRobba, Cen
dc.contributor.authorBacigaluppi, Sen
dc.contributor.authorCardim, Daniloen
dc.contributor.authorDonnelly, Josephen
dc.contributor.authorSekhon, MSen
dc.contributor.authorAries, MJen
dc.contributor.authorMancardi, Gen
dc.contributor.authorBooth, Aen
dc.contributor.authorBragazzi, NLen
dc.contributor.authorCzosnyka, Mareken
dc.contributor.authorMatta, Ben
dc.date.accessioned2017-08-09T08:47:17Z
dc.date.available2017-08-09T08:47:17Z
dc.date.issued2016-10en
dc.identifier.issn0167-9945
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/266072
dc.description.abstractNon-invasive measurement of ICP (nICP) can be warranted in patients at risk for developing increased ICP during pneumoperitoneum (PP). Our aim was to assess available data on the application of nICP monitoring during these procedures and to present a patient assessed with an innovative combination of noninvasive tools. Literature review of nICP assessment during PP did not find any studies comparing different methods intraprocedurally and only few studies of any nICP monitoring were available: transcranial Doppler (TCD) studies used the pulsatility index (PI) as an estimator of ICP and failed to detect a significant ICP increase during PP, whereas two out of three optic nerve sheath diameter (ONSD) studies detected a statistically significant ICP increase. In the case study, we describe a 52 year old man with a high grade thalamic glioma who underwent urgent laparoscopic cholecystectomy. Considering the high intraoperative risk of developing intracranial hypertension, he was monitored through parallel ONSD ultrasound measurement and TCD derived formulae (flow velocity diastolic formula, FVdnICP, and PI). ONSD and FVdnICP methods indicated a significant ICP increase during PP, whereas PI was not significantly increased. Our experience, combined with the literature review, seems to suggest that PI might not detect ICP changes in this context, however we indicate a possible interest of nICP monitoring during PP by means of ONSD and of TCD derived FVdNICP, especially for patients at risk for increased ICP.
dc.description.sponsorshipD.C. and M.C. are partially supported by NIHR Brain Injury Healthcare Technology Co-operative, Cambridge, UK.
dc.languageengen
dc.publisherSpringer Nature
dc.subjectIntraoperative monitoringen
dc.subjectNon invasive intracranial pressureen
dc.subjectOptic nerve sheet diameteren
dc.subjectPneumoperitonaeumen
dc.subjectAdulten
dc.subjectAgeden
dc.subjectBrain Mappingen
dc.subjectHumansen
dc.subjectIntracranial Hypertensionen
dc.subjectIntracranial Pressureen
dc.subjectMagnetic Resonance Imagingen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectMonitoring, Intraoperativeen
dc.subjectMonitoring, Physiologicen
dc.subjectOptic Nerveen
dc.subjectPneumoperitoneumen
dc.subjectProspective Studiesen
dc.subjectSignal Processing, Computer-Assisteden
dc.subjectUltrasonography, Doppler, Transcranialen
dc.titleIntraoperative non invasive intracranial pressure monitoring during pneumoperitoneum: a case report and a review of the published cases and case report series.en
dc.typeArticle
prism.endingPage538
prism.issueIdentifier5en
prism.publicationDate2016en
prism.publicationNameJournal of Clinical Monitoring and Computingen
prism.startingPage527
prism.volume30en
dc.identifier.doi10.17863/CAM.10525
dcterms.dateAccepted2015-09-01en
rioxxterms.versionofrecord10.1007/s10877-015-9765-9en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2016-10en
dc.contributor.orcidCardim, Danilo [0000-0002-9261-1321]
dc.contributor.orcidDonnelly, Joseph [0000-0002-6502-8069]
dc.contributor.orcidCzosnyka, Marek [0000-0003-2446-8006]
dc.identifier.eissn1573-2614
rioxxterms.typeJournal Article/Reviewen
cam.issuedOnline2015-09-05en
cam.orpheus.successThu Jan 30 12:59:10 GMT 2020 - Embargo updated*
rioxxterms.freetoread.startdate2100-01-01


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record