Traumatic Brain Injury
Conditions
Keywords
traumatic brain injury, craniocerebral trauma, brain trauma, intracranial pressure, transcranial Doppler ultrasound
Brief summary
The goal of this observational study is to investigate several means of measuring intracranial pressure (ICP) non-invasively in patients who had head trauma and received implantation of invasive ICP monitor device. The main questions it aims to answer are: What are the diagnostic efficacies of Transcranial Color-Coded Doppler Ultrasound (TCCD), Optic Nerve Sheath Diameter (ONSD) and Optic Disc Height (ODH) (the 3 non-invasive way of measuring ICP) compared with invasive ICP monitor? Participants will receive simultaneous non-invasive measurements of TCCD, ONSD and ODH along with during the days of invasive ICP monitoring. The data will be compared among the techniques to study the diagnostic efficacy.
Interventions
Patients receive non-invasive assessments of TCCD using bedside ultrasound.
Patients receive non-invasive assessments of ONSD using bedside ultrasound.
Patients receive non-invasive assessments of ODH using bedside ultrasound.
Patients receive invasive assessments of ICP.
Sponsors
Study design
Eligibility
Inclusion criteria
* Traumatic brain injury; * Received invasive ICP monitoring; * age ≥ 18 years old.
Exclusion criteria
* Severe eyeball / eyelid damage prevents transorbital ultrasound examination; * Allergy to ultrasound coupling agent; * Pregnant or lactating females.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity of TCCD | Day 0 (when invasive ICP probe is implanted) to day 10 | Sensitivity and specificity of diagnosing intracranial hypertension using TCCD |
| Sensitivity and specificity of ONSD | Day 0 (when invasive ICP probe is implanted) to day 10 | Sensitivity and specificity of diagnosing intracranial hypertension using ONSD |
| Sensitivity and specificity of ODH | Day 0 (when invasive ICP probe is implanted) to day 10 | Sensitivity and specificity of diagnosing intracranial hypertension using ODH |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pearson correlation coefficient between ultrasound metrics and invasive ICP | Day 0 (when invasive ICP probe is implanted) to day 10 | Pearson correlation coefficient between metrics from bedside ultrasound and invasive ICP |