KASMEJ
Kastamonu Medical Journal

Kastamonu Medical Journal regularly publishes internationally qualified issues in the field of Medicine in the light of up-to-date information.

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Original Article
Evaluation of intracranial pressure using optic nerve sheath diameter in patients undergoing thulium laser prostatectomy with spinal or general anesthesia
Abstract
Aims: This study aims to evaluate optic nerve sheath diameter (ONSD) measurements as a non-invasive indicator of intracranial pressure in patients undergoing Thulium Laser Prostatectomy (ThuLEP) under spinal or general anesthesia.
Methods: 44 patients aged 18-90 years were included in this prospective observational clinical study. Patients were randomly divided into general anesthesia and spinal anesthesia groups. ONSD measurements were made before, during and after surgery. Mann-Whitney U test, Wilcoxon signed rank test and Spearman chi-square test were used in statistical analysis.
Results: There was no statistically significant difference in preoperative, intraoperative and postoperative ONSD values between both groups. In patients who underwent general and spinal anesthesia, an increase in ONSD values was observed after anesthesia compared to the preoperative period.
Conclusion: ONSD measurement may be a useful, non-invasive technique for assessing intracranial pressure. This study showed that both anesthesia methods had similar effects on intracranial pressure. However, studies with a larger number of patients are needed to evaluate the effect of anesthesia management and surgical position on intracranial pressure.

Keywords : ThuLEP, optic nerve sheath diameter, anesthesia

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1. Abt D, Mordasini L, Hechelhammer L, Kessler TM, Schmid HP, Engeler DS. Prostatic artery embolization versus conventional TUR-P in the treatment of benign prostatic hyperplasia: protocol for a prospective randomized non-inferiority trial. BMC Urol. 2014;14:94.
2. Kyriazis I, Swiniarski PP, Jutzi S, et al. Transurethral anatomical enucleation of the prostate with Tm:YAG support (ThuLEP): review of the literature on a novel surgical approach in the management of benign prostatic enlargement. World J Urol. 2015;33(4):525-530.
3. Dubourg J, Javouhey E, Geeraerts T, Messerer M, Kassai B. Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2011;37(7):1059-1068.
4. Safak KY, Turkoglu O, Sencan BD, Tokgöz Özal S. Optic nerve sheath diameter: comparison between ultrasonography and magnetic resonance imaging. Med J Okmeydani Train Res Hosp. 2015;31(8):71-74.
5. Drolet C, Pinard C, Gaitero L, Monteith G, Bateman S. Study of the effect of anaesthesia on the canine ultrasonographic optic nerve sheath diameter. J Small Anim Pract. 2021;62(12):1070-1078.
6. Kim Y, Choi S, Kang S, Park B. Propofol affects optic nerve sheath diameter less than sevoflurane during robotic surgery in the steep trendelenburg position. Biomed Res Int. 2019;2019:5617815.
7. Robba C, Santori G, Czosnyka M, et al. Optic nerve sheath diameter measured sonographically as non-invasive estimator of intracranial pressure: a systematic review and meta-analysis. Intensive Care Med. 2018; 44(8):1284-1294.
8. Breyer K, Roth S. Patient positioning and associated risks. Ninth Edit. Miller’s Anesthesia. Elsevier; 2020.1079-1112 p.
9. Lee YY, Lee H, Park HS, Kim WJ, Baik HJ, Kim DY. Optic nerve sheath diameter changes during gynecologic surgery in the Trendelenburg position: comparison of propofol-based total intravenous anesthesia and sevoflurane anesthesia. Anesth Pain Med (Seoul). 2019;14(4):393-400.
10. Venkateswarlu Y, Mahanty PR, Sahu S, Sharma P, Nag DS. Effect of tourniquet deflation on ıntracranial pressure measured by ultrasound of the optic nerve sheath diameter in patients undergoing orthopedic surgery under spinal anesthesia: an observational study.Cureus. 2023;15(10):e46700.
11. Gönen AO, Kaya G, Tütüncü AÇ, Özcan R, Emre Ş, Kendigelen P. Effect of paediatric caudal injection volume on optic nerve sheath diameter and regional cerebral oximetry: a randomised trial.Eur J Anaesthesiol. 2023; 40(7):465-471.
Article available in :
Volume 4, Issue 3, 2024
Page : 111-114
https://doi.org/10.51271/KMJ-0154
Article Information
Received : 11 Haz 2024
Accepted : 30 Tem 2024
Published : 01 Eyl 2024
Corresponding Author :

Turan Evran: Department of Anesthesia and Reanimation, Faculty of Medicine, Pamukkale University, Denizli, Turkiye

[email protected]
Citation : Evran T, İlhan S, Çopur İ. Evaluation of intracranial pressure using optic nerve sheath diameter in patients undergoing thulium laser prostatectomy with spinal or general anesthesia. Kastamonu Med J. 2024;4(3):111-114.

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