Report by: Dr Robert Major and Dr Walid al-Salim

Institution: Ipswich Hospital, Ipswich, UK

A short-cut review was carried out to establish whether optic nerve sheath measurements can identify raised intracranial pressure. A total of 43 papers was found using the reported search, of which eight represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. The clinical bottom line is in patients with head injuries a bedside ultrasound measurement of …