Perioperative estimation of the intracranial pressure using the optic nerve sheath diameter during liver transplantation
Vijay Krishnamoorthy, Katharina Beckmann, Mark Mueller, Deepak Sharma, Monica S. Vavilala – 10 December 2012 – An elevation of the intracranial pressure (ICP) secondary to cerebral edema is a major contributor to morbidity and mortality in acute liver failure. In addition, invasive ICP monitoring in this setting is controversial because coagulopathy predisposes patients to hemorrhagic complications. In this case report, we describe the novel use of optic nerve sheath diameter monitoring as a noninvasive modality for checking for acute elevations in ICP in this setting.