OPTIC NERVE SHEATH DIAMETER ASSESSMENT AS A POINT OF CARE TOOL FOR ASSESSMENT OF INTRA- CRANIAL PRESSURE IN A PATIENT OF SEVERE ORGANOPHOPHORUS POISIONING IN ICU
Dr. Akansha Singh, Dr. Mili Dogra* and Dr. Cliffin Mathai Kattoor
Monitoring of GCS in severe organophosphate induced poisoning can be a crucial tool in predicting the prognosis and ICU stay of patients. While advanced radiological investigations like Computed Tomography and Magnetic Resonance Imaging provide definitive signs of increased Intra Cranial Pressure, they are expensive and cumbersome to be performed on a daily basis. Optic Nerve Sheath Diameter Ultrasonography provides an easy to do investigation to monitor ICP on a daily basis. We report a case of a 48 year old male with a history of ingestion of an organophosphate poison (chlorpyrifos) with elevated intra-cranial pressure.
Keywords: Optic Nerve Sheath Diameter, Ultrasonography, organophosphate, intra-cranial pressure.
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