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Updated: Jan 7, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex
Published on: July 4, 2018
[Acoustic reflexometry in diagnostics of acubarotrauma]
1Military 426 Hospital, Samara, Russia.
Objective:
To optimize diagnostics of acubarotrauma by identifying its objective signs based on the results of acoustic reflexometry.
Material And Methods:
A prospective study was conducted at the forefront of medical evacuation in a combat zone, including examination of patients with unilateral acubarotrauma. During the study, instrumental diagnostics were performed: digital otoscopy, tone threshold audiometry, low-frequency acoustic impedancemetry with the study of ipsilateral acoustic reflexes.
Results:
The results of the study revealed a statistically significant relationship with a moderate correlation of the absence of registration of acoustic reflexes with time on the side of the acubarotrauma - the first three days from the moment of injury, as well as on the opposite side - the first day from the moment of injury.
Conclusion:
Acoustic reflexometry is recommended in cases of unilateral traumatic damage to the organ of hearing to confirm the mine-explosive etiology.
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