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Discussion

Pupillometer guideline

Does anyone have a guideline that they could share for using the neuroptics pupillometer? I do not have any experience with the equipment and would like to know what others do regarding frequency of use, when to call MD, etc. Any info would be appreciated!

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There are articles in Pub Med if you search Pupillometery r/t ICP. You can also contact the NeuroOptics rep and they can supply you with articles or if you browse the NeuroOptic website under Critical Care you will have lots of information at your feet.

Abnormal values

CV

Pupil reactivity

NPI

Difference in pupil size fro right to left > 1 mm

Hope this helps.

We obtain a pupillometer reading on admission for all our neuro patients. Our protocol is to call the MD for:

NPi

CV

%change

>1mm difference between pupils

We also trend the NPi and if there is a difference between R/L pupils of >0.7 or if the NPi has decreased by 0.7 the MD is to be called. We use the pupillometer Q4h for GCS

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Thank you both for the info! I had found more detail on the neuroptics site last week-not sure how I missed it the first time. Thanks again!

Hi! We're looking into using these, did you ever find/develop a policy or protocol that you'd be willing to share? Thanks!

Hi! We're looking into using these, did you ever find/develop a policy or protocol that you'd be willing to share? Thanks!

Would be interested in the same!

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