Quantitative Pupillometry in the Intensive Care Unit

被引:56
作者
Bower, Matthew M. [1 ]
Sweidan, Alexander J. [1 ]
Xu, Jordan C. [1 ]
Stern-Neze, Sara [1 ]
Yu, Wengui [1 ]
Groysman, Leonid I. [1 ]
机构
[1] Univ Calif Irvine, Dept Neurol, Orange, CA 92868 USA
关键词
pupillometry; out of hospital; cardiac arrest; reflex; pupillary; brain injuries; traumatic; intracranial pressure; OCULOMOTOR NERVE PALSY; AUTOMATED PUPILLOMETRY; INFRARED PUPILLOMETRY; TRANSCRANIAL DOPPLER; BRAIN HERNIATION; CARDIAC-ARREST; LIGHT REFLEX; PREDICTION; DILATION; DIAZEPAM;
D O I
10.1177/0885066619881124
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Quantitative pupillometry provides a noninvasive and objective assessment within the neurological examination. This review details the physiology of the pupillary light response, the clinical significance of changes in pupillary reactivity, and the variables that compose the Neurological Pupil index or NPi are discussed. This article reviews the most recent applications and advances in quantitative pupillometry for noninvasive intracranial pressure monitoring, postcardiac arrest prognostication, and subarachnoid hemorrhage. Also discussed are the limitations and confounders of quantitative pupillometry in the modern neurological intensive care unit.
引用
收藏
页码:383 / 391
页数:9
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