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The Role of Automated Infrared Pupillometry in Traumatic Brain Injury: A Narrative Review
Charikleia S Vrettou1, Paraskevi C Fragkou1, Ioannis Mallios1
1First Department of Critical Care Medicine & Pulmonary Services, Evangelismos Hospital, Medical School, National and Kapodistrian University of Athens, 10676 Athens, Greece.
Journal of Clinical Medicine
|January 26, 2024
Summary
Portable automated infrared pupillometers (PAIPs) offer objective brain injury assessment, aiding in neuro-worsening detection and patient monitoring. While promising for prognostication, further clinical validation is needed for widespread adoption.
Area of Science:
- Neurology
- Medical Technology
- Trauma Care
Background:
- Pupillometry is crucial for neurological exams, assessing pupil size and reactivity.
- Manual pupillary assessment has limitations, driving the need for automated solutions.
- Portable automated infrared pupillometers (PAIPs) offer objective, infrared-based evaluation.
Purpose of the Study:
- To evaluate the utility of PAIPs in brain injury assessment.
- To explore PAIPs' role in detecting neuro-worsening and monitoring patients.
- To investigate PAIPs' potential in neuro-prognostication for severe brain trauma.
Main Methods:
- Utilizing portable automated infrared pupillometers (PAIPs) for objective pupillary assessment.
- Correlating PAIP-derived parameters with intracranial pressure changes.
- Comparing PAIPs with traditional manual methods, especially in mild brain trauma.
Main Results:
- PAIPs provide objective data valuable for brain injury monitoring and detecting neuro-worsening.
- PAIPs show correlations with intracranial pressure, aiding in non-invasive neuromonitoring.
- PAIPs are particularly useful in severe brain trauma for prognostication.
Conclusions:
- PAIPs enhance brain injury assessment and patient monitoring, especially in severe cases.
- PAIPs offer non-invasive monitoring advantages but do not replace invasive intracranial pressure monitoring.
- Further clinical studies are essential for validating PAIPs and supporting their widespread adoption.
