학술논문

Quantitative Pupillometry in the Intensive Care Unit.
Document Type
article
Source
Journal of intensive care medicine. 36(4)
Subject
brain injuries
cardiac arrest
intracranial pressure
out of hospital
pupillary
pupillometry
reflex
traumatic
Emergency & Critical Care Medicine
Clinical Sciences
Nursing
Language
Abstract
Quantitative pupillometry provides a noninvasive and objective assessment within the neurological examination. This review details the physiology of the pupillary light response, the clinical significance of changes in pupillary reactivity, and the variables that compose the Neurological Pupil index or NPi are discussed. This article reviews the most recent applications and advances in quantitative pupillometry for noninvasive intracranial pressure monitoring, postcardiac arrest prognostication, and subarachnoid hemorrhage. Also discussed are the limitations and confounders of quantitative pupillometry in the modern neurological intensive care unit.