Transcranial Doppler, Optic Nerve Envelope Diameter and Quantitative Pupillometry Measurements
Transcranial Doppler, Optic Nerve Envelope Diameter and Quantitative Pupillometry Measurements in Postoperative Resuscitation Neurosurgery
Centre Hospitalier Universitaire de la Réunion
230 participants
Feb 10, 2023
OBSERVATIONAL
Conditions
Summary
Non-invasive neuromonitoring tools such as transcranial doppler, optic nerve envelope diameter measurement and quantitative pupillometry are routinely used in acute brain injured patients as part of multimodal neuromonitoring with the aim, among others, of detecting episodes of intracranial hypertension, each method allowing the study of one of the different pathophysiological mechanisms of its impact. However, at present there is no data in the literature on the value of these non-invasive neuromonitoring tools in the management of patients undergoing controlled intracranial surgery. The study aims to help the early detection of postoperative neurological deterioration.
Eligibility
Inclusion Criteria3
- Regulated intracranial surgery: scheduled \> 48 hours
- French-speaking patient
- No opposition from the patient or a relative when the patient is unable to consent
Exclusion Criteria4
- Chronic subdural haematoma
- Isolated cerebral endovascular procedure
- Stereotactic biopsy
- Scheduled ventriculoperitoneal shunt or isolated ventriculocisternostomy
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Interventions
4 days Post-operation follow-up. Data will be gathered before the surgery and at regular times after the surgery until day 4
Locations(1)
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NCT05843214