The Use of Automated Pupillometry in Critical Care

DaiWai M Olson; Megan Fishel

doi:10.1016/j.cnc.2015.09.003

The Use of Automated Pupillometry in Critical Care

Crit Care Nurs Clin North Am. 2016 Mar;28(1):101-7. doi: 10.1016/j.cnc.2015.09.003. Epub 2015 Dec 1.

Authors

DaiWai M Olson¹, Megan Fishel²

Affiliations

¹ The University of Texas Southwestern, Dallas, TX, USA. Electronic address: DaiWai.Olson@UTSouthwestern.edu.
² The University of Texas Southwestern, Dallas, TX, USA.

PMID: 26873763
DOI: 10.1016/j.cnc.2015.09.003

Abstract

The neurologic examination (neuroexamination) is one of the most powerful tools available to nurses and physicians caring for patients with neurologic or neurosurgical illness. Assessing cranial nerve function is one of the most vital components of the neuroexamination. The pupillary light reflex helps to evaluate the status of the second and third cranial nerves and is one of the most well-known elements of the cranial nerve examination. Automated pupillometers have been developed that provide objective measures of size of the pupil and the responsiveness of the pupil to light (neuropupillary index).

Keywords: Cranial nerve assessment; Multimodal monitoring; Neurologic assessment; Pupillometer.

Publication types

Review

MeSH terms

Brain Injuries / diagnosis
Critical Care*
Humans
Monitoring, Physiologic / instrumentation*
Monitoring, Physiologic / methods
Neurologic Examination / nursing*
Pupil
Reflex, Pupillary / physiology*