Optic nerve sheath diameter versus extra-vascular lung water detected by ultrasound in volume status prediction in severe preeclampsia

Mowafy, Sherif M S; Elsayed, Mohamed L.

doi:10.1080/11101849.2020.1816153

Cited by 3 publications

(20 citation statements)

References 28 publications

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“…Seven full-text articles were eventually included as per the selection criteria. [ 5 8 9 10 12 13 14 ]…”

Section: Resultsmentioning

confidence: 99%

“…A total of 574 parturients were analysed in this SR and MA, out of which 188 were healthy controls, 396 were pre-eclamptics including 220 severely pre-eclamptic cases. [ 5 8 9 12 13 ] POCUS for fluid volume status assessment includes LUS, optic nerve ultrasound, cardiac and thoracic ultrasound. In four of the selected studies, lung and cardiac ultrasonography were done.…”

Section: Resultsmentioning

confidence: 99%

“…[ 8 9 10 12 ] In two studies, optic ultrasound and LUS were done. [ 5 13 ] In one study, only LUS was done. [ 14 ] For LUS, 28 rib interspace technique was used in two studies,[ 12 13 ] eight region technique in two studies,[ 8 9 ] four region technique devised from eight region technique in one study[ 14 ] and 12 region technique was used in another study.…”

Section: Resultsmentioning

confidence: 99%

“…[ 5 13 ] In one study, only LUS was done. [ 14 ] For LUS, 28 rib interspace technique was used in two studies,[ 12 13 ] eight region technique in two studies,[ 8 9 ] four region technique devised from eight region technique in one study[ 14 ] and 12 region technique was used in another study. [ 10 ] The US imaging and interpretation of images was done by either a certified operator/cardiologist/obstetrician/registered medical sonographer/echocardiography investigator/pulmonary expert.…”

Section: Resultsmentioning

confidence: 99%

“…Clinical symptoms of pulmonary oedema were looked for in four studies. [ 9 10 12 13 ] The parturient characteristics in the seven individual studies including age, parity, single/multiple pregnancies and blood pressure (BP) were noted [ Table 1 ]. Various parameters related to fluid assessment and EVLW were measured in the selected studies via POCUS [ Table 2 ].…”

Section: Resultsmentioning

confidence: 99%

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Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Bajwa¹,

Kurdi²,

Sutagatti³

et al. 2021

Indian Journal of Anaesthesia

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Background and Aims: Appropriate volume assessment and fluid management can prevent maternal deaths in the severely pre-eclamptic (SPE) parturients. We planned a systematic review and meta-analysis (MA) to evaluate the role and ability of point-of-care ultrasound (POCUS) in the assessment of volume status and early detection of lung oedema in an SPE parturient. Methods: An e-literature search was done from several databases. Data were extracted under five domains including POCUS-derived parameters like echo comet score (ECS), lung ultrasound (LUS) scores, B-patterns, optic nerve sheath diameter (ONSD), E/e' ratio, presence of pleural effusion, pulmonary interstitial syndrome and pulmonary congestion. The risk of bias was assessed. Extracted data were analysed using MetaXL and Revman 5.3. Heterogeneity in the studies was evaluated using the Cochrane Q test and I 2 statistics. Funnel plots were used for the assessment of publication bias. Results: Seven prospective studies including 574 parturients (including 396 pre-eclamptics) were selected. POCUS included lung, optic nerve, cardiac and thoracic US. In two studies, the ECS and LUS scores pre-delivery were higher in pre-eclamptics. Two studies found a mean ONSD of 5–5.84 mm before delivery. MA revealed a significantly lower mean ECS score at post-delivery than pre-delivery, and the summary prevalence of B-pattern and pleural effusion among SPE parturients was found to be 0.28 (0.03–0.84) and 0.1 (0–0.2), respectively. A good correlation was observed between B-line patterns and diastolic dysfunction (increased E/e' ratio), LUS score and thoracic fluid content, ONSD and ECS in individual studies. Conclusion: POCUS parameters can be useful as early markers of fluid status and serve as useful tools in the precise clinical management of pre-eclampsia.

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“…Seven full-text articles were eventually included as per the selection criteria. [ 5 8 9 10 12 13 14 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Bajwa¹,

Kurdi²,

Sutagatti³

et al. 2021

Indian Journal of Anaesthesia

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Point-of-Care Ultrasound in an Unstable Patient After Cardiac Surgery

Gourdeau¹,

Beaubien‐Souligny²,

Denault³

2022

Chest

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Ultrasonography For Fluid Assessment in Parturients with Preeclampsia Undergoing Elective Cesarean Section Under Spinal Anesthesia

Elebedy

Bakrey

Badran

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Preeclampsia is a syndrome characterized by hypertension and organ system involvement. Fluid assessment is essential to avoid complications. Point of care ultrasonography (POCUS) is noninvasive tool used in assessment of parturients with preeclampsia. Objective: This study evaluated perioperative ultrasonography for assessment of lung congestion, optic nerve sheath diameter (ONSD), and IVC diameters in parturients with preeclampsia. We hypothesized a difference in pulmonary congestion over time during cesarean delivery. Patients and methods: This was a prospective observational study of one hundred ASA II-III parturients with preeclampsia, singleton pregnancy undergoing elective cesarean delivery under spinal anesthesia. Lung ultrasonography, IVC diameters and ONSD ultrasound performed at baseline, at 1 h and 2 h after spinal anesthesia, Lung ultrasound for quantification of the Echo Comet Score (ECS). The maximum and minimum IVC diameters assessed using the subcostal long-axis view. ONSD measured 3 mm behind the globe. Results: No significant difference in the ECS and ONSD at 1 hour and 2 hours compared with baseline (P=0.46), (P=0.16) respectively. The maximum and minimum IVC diameters were larger at 1 h and 2 h compared with baseline (P<0.0001).There was a positive correlation between the ECS and ONSD at 2 h. (r 2 = 0.689, P<0.001). Conclusion:No significant difference in the ECS and ONSD at 1 hour and 2 hours after spinal anesthesia compared with baseline. Non-invasive POCUS used for fluid assessment in parturients with preeclampsia.

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Optic nerve sheath diameter versus extra-vascular lung water detected by ultrasound in volume status prediction in severe preeclampsia

Abstract: Elsayed (2020) Optic nerve sheath diameter versus extra-vascular lung water detected by ultrasound in volume status prediction in severe preeclampsia,

Cited by 3 publications

References 28 publications

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis

Point-of-Care Ultrasound in an Unstable Patient After Cardiac Surgery

Ultrasonography For Fluid Assessment in Parturients with Preeclampsia Undergoing Elective Cesarean Section Under Spinal Anesthesia

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