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intracranial pressure monitoring in severe head injury

Optic nerve sheath diameter as a predictor of Intracranial pressure (ICP) in traumatic brain injury: Prospective study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/04/033166
Enrollment
22
Registered
2021-04-27
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: S069- Unspecified intracranial injury

Interventions

Intervention1: Optic nerve sheath diameter and CT marshall scoring and External Ventricular Device: optic nerve sheath diameter will be measured every 3 hourly for the time of presentation in the emer

Sponsors

AIIMS Rishikesh
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients suffering from moderate to severe traumatic brain injury Patients following criteria for ICP monitoring as per TBI guidelines published by BTF (Brain trauma foundation) Intracranial pressure (ICP) should be monitored in all salvageable patients with a severe traumatic brain injury (TBI) (GCS 3-8 after resuscitation) and an abnormal computed tomography (CT) scan. An abnormal CT scan of the head is one that reveals hematomas, contusions, swelling, herniation, or compressed basal cisterns. ICP monitoring is indicated in patients with severe TBI with a normal CT scan if two or more of the following features are noted at admission: age over 40 years, unilateral or bilateral motor posturing, or systolic blood pressure (BP) <90 mm Hg

Exclusion criteria

Exclusion criteria: Patientâ??s attendants denying consent to participate Associated globe injury Patients with pre-existing optic nerve head changes such as glaucoma, ocular diseases such as cataract, chorioretinitis, retinal scars, posterior uveitis, macular disorders, retinal artery/vein occlusions Bleeding diathesis

Design outcomes

Primary

MeasureTime frame
Identification of correlation between ultrasonographic optic nerve sheath diameter (ONSD) and invasively measured ICP through external ventricular deviceTimepoint: At 0hr(In Emergency), 4hr, 8 hr, 12hr, 16hr, 20hr, 24hr, 28hr, 32hr, 36hr, 40hr, 44hr, 48hr, 52hr, 56hr, 60hr, 64hr, 68hr, 72hr, 76hr, 80hr, 84hr, 88hr, 92hr and 96hr—

Secondary

MeasureTime frame
To assess ONSD as an early predictor of increase ICP in traumatic brain injury Identification of correlation between ICP and Marshall Computer Tomography (CT) Grades in TBI.Timepoint: At 0hr in Emergency—

Countries

India

Contacts

Public ContactDIVAKAR GOYAL

AIIMS RISHIKESH

doc.ajaykumar@gmail.com9911858702

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026