Ultrasonographic assessment of optic nerve sheath diameter during pediatric laparoscopy

Ultrasound in Medicine & Biology
Ji Young MinJiwon An

Abstract

This study investigated the extent of the raised intracranial pressure resulting from carbon dioxide (CO2) pneumoperitoneum by ultrasonographically measuring optic nerve sheath diameter (ONSD) in children undergoing laparoscopic surgery. Twenty-five children aged less than 9 y (53.1 ± 23.3 mo, mean ± standard deviation) and scheduled for an elective laparoscopic surgery participated. ONSD was assessed using ocular ultrasonography 10 min after induction of anesthesia (T0), 10 min after induction of CO2 pneumoperitoneum at 10 mm Hg intra-abdominal pressure (T1) and in an anesthetized state without CO2 pneumoperitoneum at the conclusion of the surgery (T2). During CO2 pneumoperitoneum, ONSD increased significantly compared with ONSD after anesthesia induction (T0: 4.3 ± 0.3 mm, T1: 4.6 ± 0.3 mm, p < 0.05). In all enrolled patients, any neurologic complications were not observed during the intra-operative or post-operative period. In children undergoing laparoscopic surgery, an increase in ONSD was ascertained during CO2 pneumoperitoneum, and thus the corresponding increase in intracranial pressure could be predicted.

References

Sep 1, 1974·Stroke; a Journal of Cerebral Circulation·R L GrubbM M Ter-Pogossian
Jun 1, 1994·The Journal of Trauma·L G JosephsE F Hirsch
Apr 16, 1998·Surgical Endoscopy·A HalversonJ Sackier
Sep 15, 1999·Anesthesiology·B F MattaA C Summors
Dec 2, 1999·Clinical Radiology·J BallantyneG N Dutton
Nov 9, 2002·European Journal of Ultrasound : Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology·S A BallantyneA S Hollman
Mar 27, 2007·Emergency Medicine Journal : EMJ·Abdullah Sadik GirisginMustafa Semiz
May 30, 2008·Intensive Care Medicine·Thomas GeeraertsJacques Duranteau
Sep 24, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David McAuleyLouise Sweeney
Apr 6, 2011·Acta Anaesthesiologica Scandinavica·R Moretti, B Pizzi
Jun 23, 2011·British Journal of Anaesthesia·C DubostT Geeraerts
Jan 19, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Sarah J HillMark L Wulkan
Mar 15, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Daniel J Ostlie, Todd A Ponsky

❮ Previous
Next ❯

Citations

Aug 25, 2015·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Scott R LambertAmy K Hutchinson

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.