Effect of Percutaneous Tracheostomy on Optic Nerve Sheath Diameter [TONS Trial]

Elective percutaneous tracheostomy [PCT] is the widely performed procedure in neurocritically ill patients as an airway management choice in neurocritical care unit [NICU]. Intracranial pressure [ICP] is a vital parameter to be monitored in these patients while undergoing any surgical procedure incl...

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Published in:Indian journal of critical care medicine 2021-04, Vol.25 (4), p.382-387
Main Authors: Kapoor, Indu, Wanchoo, Jaya, Mahajan, Charu, Singhal, Vasudha, Roy, Hirok, Kumar, Subodh, Brahma, Rupali, Prasad, Chandrakant, Kalaivani, Mani, Prabhakar, Hemanshu, Chaturvedi, Arvind
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Language:English
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Summary:Elective percutaneous tracheostomy [PCT] is the widely performed procedure in neurocritically ill patients as an airway management choice in neurocritical care unit [NICU]. Intracranial pressure [ICP] is a vital parameter to be monitored in these patients while undergoing any surgical procedure including PCT. Optic nerve sheath diameter [ONSD], being a surrogate of ICP, can be done bedside and carries less complications than invasive ICP monitoring. The aim of our study was to assess the effect of PCT on ONSD at different stages of PCT. A total of 158 patients with various intracranial pathologies scheduled for PCT in NICU were screened for eligibility in our study. We assessed mean values of ONSD, HR, MBP, and SpO for changes over various time points during PCT using generalized estimating equation (GEE). A value of
ISSN:0972-5229
1998-359X
DOI:10.5005/jp-journals-10071-23783