title: Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation.
abstract: An elevation of the intracranial pressure (ICP) secondary to cerebral edema is a major contributor to morbidity and mortality in acute liver failure. In addition, invasive ICP monitoring in this setting is controversial because coagulopathy predisposes patients to hemorrhagic complications. In this case report, we describe the novel use of optic nerve sheath diameter monitoring as a noninvasive modality for checking for acute elevations in ICP in this setting. Because of the merits of rapidly evolving ultrasound technologies, this may serve as a safe method for improving patient care in this setting.
authors.affiliation: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA. vkrish@uw.edu
authors.forename: Vijay
authors.initials: V
authors.lastname: Krishnamoorthy
authors.forename: Katharina
authors.initials: K
authors.lastname: Beckmann
authors.forename: Mark
authors.initials: M
authors.lastname: Mueller
authors.forename: Deepak
authors.initials: D
authors.lastname: Sharma
authors.forename: Monica S
authors.initials: MS
authors.lastname: Vavilala
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D019586:Intracranial Hypertension / Q000000981:diagnostic imaging* / Q000209:etiology / Q000503:physiopathology; D007427:Intracranial Pressure; D017114:Liver Failure, Acute / Q000601:surgery*; D016031:Liver Transplantation / Q000009:adverse effects; D016343:Monitoring, Intraoperative / Q000379:methods*; D009186:Myelin Sheath / Q000000981:diagnostic imaging*; D009900:Optic Nerve / Q000000981:diagnostic imaging*; D019990:Perioperative Care; D011237:Predictive Value of Tests; D016896:Treatment Outcome; D014463:Ultrasonography