Abstract
Traumatic brain injury is a rapidly increasing source of morbidity and mortality across the world. As such, the evaluation and management of traumatic brain injuries ranging from mild to severe are under active investigation. Over the last two decades, quantitative pupillometry has been increasingly found to be useful in both the immediate evaluation and ongoing management of traumatic brain injured patients. Given these findings and the portability and ease of use of modern pupillometers, further adoption and deployment of quantitative pupillometers into the preclinical and hospital settings of both resource rich and medically austere environments.
Highlights
Traumatic brain injury (TBI) represents one of the world’s most prevalent causes of morbidity and mortality
While TBI management in resource-wealthy areas is driven by imaging, intracranial monitoring, and neurological intensive care units (NICU), management of these injuries in both resource-poor areas and in the non/pre-hospital setting has significant limitations when compared to such an expensive paradigm
Quantitative pupillometry (QP) of the same athletes immediately following a game without a Mild TBI (mTBI) demonstrated only a statistically significant increase in constriction velocity [17]. These results demonstrate both a rapid, objective manner in which to diagnose acute mTBIs that appears to not be confounded by the altered sympathetic tone patients may be experiencing at the time
Summary
Traumatic brain injury (TBI) represents one of the world’s most prevalent causes of morbidity and mortality. While TBI management in resource-wealthy areas is driven by imaging, intracranial monitoring, and neurological intensive care units (NICU), management of these injuries in both resource-poor areas and in the non/pre-hospital setting has significant limitations when compared to such an expensive paradigm. Quantitative pupillometry (QP) is rapidly emerging as an effective, affordable, easy-to-use, and reliable tool to diagnose and follow patients with TBIs. Quantitative pupillometry (QP) is rapidly emerging as an effective, affordable, easy-to-use, and reliable tool to diagnose and follow patients with TBIs The purpose of this Perspective is to advocate for the expanded use of QP in the evaluation and management of patients with TBIs. The purpose of this Perspective is to advocate for the expanded use of QP in the evaluation and management of patients with TBIs Deployment of these devices and the accurate use and interpretation of the data they provide offers the potential to improve clinical outcomes in TBI patients at both resource-rich settings such as well-developed intensive care units and resource limited areas such as the preclinical and military forward deployed settings
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