Version 1
: Received: 8 February 2024 / Approved: 9 February 2024 / Online: 9 February 2024 (11:21:15 CET)
How to cite:
Notaro, M.; Belotti, L.M.B.; Di serafino, M.; Longobardi, A.; Villani, R.; Aspide, R. Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: A Pilot Study. Preprints2024, 2024020549. https://doi.org/10.20944/preprints202402.0549.v1
Notaro, M.; Belotti, L.M.B.; Di serafino, M.; Longobardi, A.; Villani, R.; Aspide, R. Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: A Pilot Study. Preprints 2024, 2024020549. https://doi.org/10.20944/preprints202402.0549.v1
Notaro, M.; Belotti, L.M.B.; Di serafino, M.; Longobardi, A.; Villani, R.; Aspide, R. Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: A Pilot Study. Preprints2024, 2024020549. https://doi.org/10.20944/preprints202402.0549.v1
APA Style
Notaro, M., Belotti, L.M.B., Di serafino, M., Longobardi, A., Villani, R., & Aspide, R. (2024). Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: A Pilot Study. Preprints. https://doi.org/10.20944/preprints202402.0549.v1
Chicago/Turabian Style
Notaro, M., Romolo Villani and Raffaele Aspide. 2024 "Non-invasive Assessment of Intracranial Pressure in Severe Burned Patients: A Pilot Study" Preprints. https://doi.org/10.20944/preprints202402.0549.v1
Abstract
Burn patients still represent an important challenge in critical care medicine today. These patients can develop significant neurological conditions up to intracranial hypertension, but as they find themselves hospitalized outside of neurocritical care and are often subjected to sedation for the complex management, they are sometimes underestimated. The aim of this study is to evaluate the feasibility of non-invasive methods for the early diagnosis of intracranial hypertension in these patients.
In this prospective observational study, adult burn patients admitted to intensive care within the first 8 hours of the event were enrolled. These patients were studied through ultrasound measurement of optic nerve sheath diameter and intracranial vessel velocimetry with transcranial Doppler.
In the 20 patients studied, no frankly pathological values were identified in the 3 different measurement stages (within 8 hours of the burn, then at 48 and 96 hours) and no correlations were identified between the measured values and the extension of the burn with the related risk of mortality.
However, this study, one of a kind, demonstrates that these non-invasive methods are applicable to this specific patient population, and can represent an effective method for reducing the incidence of complications that are dangerous for survival.
Medicine and Pharmacology, Anesthesiology and Pain Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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