Response to Optic nerve sheath diameter in critically ill patients: nuances and interpretation

First of all, we are very pleased to see their recommendations and acknowledge that there is still a lot of work to be done to explore the influencing factors of intracranial pressure (ICP)/optic nerve sheath diameter (ONSD). In addition to the serum albumin, serum sodium, and bedside angle mentione...

Full description

Saved in:
Bibliographic Details
Published inCritical care (London, England) Vol. 24; no. 1; pp. 1 - 436
Main Authors Yang, Ziyue, Zhang, Shuguang, Sun, Tongwen
Format Journal Article
LanguageEnglish
Published London BioMed Central Ltd 14.07.2020
BioMed Central
BMC
Subjects
Blood pressure
Critical care
Drug withdrawal
Intracranial pressure
Letter
Optic nerve
Sepsis
England
Online AccessGet full text

Cover

More Information
Summary:First of all, we are very pleased to see their recommendations and acknowledge that there is still a lot of work to be done to explore the influencing factors of intracranial pressure (ICP)/optic nerve sheath diameter (ONSD). In addition to the serum albumin, serum sodium, and bedside angle mentioned in this study, there are many external factors that affect the ICP/ONSD judgment of sepsis-associated encephalopathy (SAE), including blood glucose, sedative use, albumin use, diuretic use, respiratory alkalosis, inspiration to expiration ratio, steroid use and withdrawal, and blood pressure; vasoactive drug use may affect intracranial blood flow and ICP/ONSD [1,2,3]. [...]the effects of steroid use and sudden withdrawal on ICP are not clear [5], and steroid deficiency caused by sepsis cannot be accurately quantitatively evaluated.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ObjectType-Article-3
ISSN:1364-8535
1364-8535
1466-609X
1366-609X
DOI:10.1186/s13054-020-03149-1