Neuroprognostication Using Optic Nerve Sheath Diameter
Status: | Recruiting |
---|---|
Conditions: | Cardiology, Neurology |
Therapuetic Areas: | Cardiology / Vascular Diseases, Neurology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 2/17/2019 |
Start Date: | May 2, 2017 |
End Date: | April 30, 2020 |
Contact: | Jocelyn LaMar, BS |
Email: | Jocelyn_LaMar@trihealth.com |
Phone: | 513-865-5072 |
Post Cardiac Arrest Neuroprognostication Using the Diameter of Optic Nerve Sheath Via Ocular ultRAsound
This study investigates the relationship between optic nerve sheath diameter and increased
intracranial pressure and its effect on neurologic outcome in post-cardiopulmonary arrest
patients.
intracranial pressure and its effect on neurologic outcome in post-cardiopulmonary arrest
patients.
This study involves patients who have experienced either an in-hospital or out-of-hospital
cardiopulmonary arrest, and who meet the 2015 American Heart Association (AHA)
inclusion/exclusion criteria for targeted temperature management [i.e., they are comatose or
exhibit no meaningful response to verbal commands with return of spontaneous circulation
(ROSC) after cardiac arrest]. After induction of hypothermia protocol after cardiopulmonary
arrest (i.e., targeted temperature management), patients will undergo ocular ultrasound at
three time points.
cardiopulmonary arrest, and who meet the 2015 American Heart Association (AHA)
inclusion/exclusion criteria for targeted temperature management [i.e., they are comatose or
exhibit no meaningful response to verbal commands with return of spontaneous circulation
(ROSC) after cardiac arrest]. After induction of hypothermia protocol after cardiopulmonary
arrest (i.e., targeted temperature management), patients will undergo ocular ultrasound at
three time points.
Inclusion Criteria:
- Patient ≥ 18 years of age
- Patient has experienced either an in-hospital or out-of-hospital cardiopulmonary
arrest
- Patient is comatose or exhibits lack of meaningful response to verbal commands with
return of spontaneous circulation (ROSC) after cardiopulmonary arrest
- Patient must meet all inclusion criteria as deemed by physician and the 2015 American
Heart Association standards for targeted temperature management (TTM) following
cardiopulmonary arrest
Exclusion Criteria:
- Patient < 18 years of age
- Patient does not meet inclusion criteria for targeted temperature management (TTM)
- Unable to obtain consent from Legal Authorized Representative (LAR)
- Patient has a Do Not Resuscitate (DNR) order or a Do Not Intubate (DNI) order at the
time of consent
- Patient has uncontrollable bleeding
- Patient is able to follow verbal commands
- Patient has another medical condition creating increased ocular pressure, as deemed by
physician
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