Analysis of Change of Optic Nerve Sheath Diameter in in Patients Operated for Urological Reasons
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 69
- 试验地点
- 1
- 主要终点
- Optic Nerve Sheath Diameter
研究概览
简要总结
The assessment of the diameter of the optic nerve sheath (ONSD) using ultrasound can be a very helpful tool in the assessment of increased intracranial pressure in patients operated for urological procedures.
详细描述
Advantages of using ultrasound in the assessment of intracranial pressure:
simple, bedside examination, repetitive, generally available, cheap, no exposure to X-rays, no need to transport the patient to the CT laboratory
Differential diagnosis:
Widening of the size of the optic nerve sheath outside of increased intracranial pressure may occur in the following pathologies:
optic neuritis optic nerve injuries meningioma of the optic nerve arachnoid cyst around the optic nerve tumors of the cavernous sinus Blood edema may occur due to impaired blood flow. The research is to determine whether the patient's position for urological procedures is safe for the patients and whether as a result of staying in such a position there is no development of cerebral edema.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients undergoing urologic operation
- •Adults 18 to 90 years of age
- •American Society of Anesthesiologists Physical grade 1-3
排除标准
- •Patients who did not agree to participate in the study
- •Patients with ophthalmic diseases
- •Patients with previous history of ophthalmic surgery
- •Patients with neurological disorders
- •Patients with history of head surgery due to neurological disorders
- •Patients with history of disease with increased intracranial pressure
- •Patients with history of disease with increased intraocular pressure
结局指标
主要结局
Optic Nerve Sheath Diameter
时间窗: 10 hours
次要结局
- neurological complications(5 days)
研究者
Tomasz Skladzien
senior assistant
Jagiellonian University