This study was funded by departmental sources.
Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation
Article first published online: 11 MAR 2013
Copyright © 2013 American Association for the Study of Liver Diseases
Volume 19, Issue 3, pages 246–249, March 2013
How to Cite
Krishnamoorthy, V., Beckmann, K., Mueller, M., Sharma, D. and Vavilala, M. S. (2013), Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation. Liver Transpl, 19: 246–249. doi: 10.1002/lt.23591
- Issue published online: 11 MAR 2013
- Article first published online: 11 MAR 2013
- Accepted manuscript online: 10 DEC 2012 02:56AM EST
- Manuscript Accepted: 3 DEC 2012
- Manuscript Received: 16 JUL 2012
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. Liver Transpl 19:246–249, 2013. © 2013 AASLD.