POCUS OBTAINED OPTIC NERVE SHEATH DIAMETER IN PATIENTS PRESENTING WITH INTRACEREBRAL HEMORRHAGE

TOPIC: Critical Care TYPE: Original Investigations PURPOSE: Intracerebral hemorrhage (ICH) results in spontaneous bleeding into the brain. This accounts for 10-15% of all strokes United States and has poor outcomes due to death or disability. An ICH can result increased intracranial pressure blood occupying extra space. Optic nerve ultrasonography emerged as a quick noninvasive procedure detect pressure. A question that not been answered is whether there specific correlation between size hematoma brain optic sheath diameter (ONSD). The wrapped by derived from meninges. Cerebrospinal fluid (CSF) transfer freely intraorbital spaces. METHODS: 23 patients were recruited this study. Each these patient’s received diagnosis admitted neuro intensive care unit (NICU). Ultrasound was performed using Sonosite machine high frequency probe. exam upon admission NICU. Both eyes scanned two planes, longitudinal transverse. Once ONSD measurements recorded, volume noted on initial head CT. RESULTS: average score 1.35 APACHE IV 27.35. In addition, GCS 13. most common cause hypertension. location lobar hemorrhage. 8 out had midline shift their 4 underwent some sort surgical intervention. smallest combined 4.43cm. longest 8.03cm. minimum 0.20cm3. maximum 60.0cm3. moderate, positive detected (correlation=0.5262; p-value=0.0099). weak (correlation=0.2052; p-value=0.3476). weak-moderate ONSD. (correlation=0.3622; p-value=0.0895). Those who experienced significantly higher averaged compared those did not. CONCLUSIONS: study determined moderate hematoma. From pathophysiological standpoint, conditions like lead cerebral parenchyma swelling which transmitted nerves through Additionally, our revealed significant difference observed CT scan. settings where no invasive monitoring available, enlargement may be useful technique shift. CLINICAL IMPLICATIONS: There are already established prognostic indicators including an 60cm3or greater along with 9 less predict 30 day mortality 19%. role prognostication. Growth first 24 hours independent predictor outcome. Serial exams applied indirectly monitor any expanding Given volume, I would interested degree disability scores such modified rankin scale. DISCLOSURES: No relevant relationships Braden Anderson, source=Web Response Shekhar Ghamande, Sarita Kambhampati, Matthew Lohse, Alireza Nathani,