Pupillometer guideline

Published

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!

hkulczyc

1 Post

Specializes in Surgical-Neuro Trauma, ICU. Has 3 years experience.

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.

bellehill, RN

566 Posts

Specializes in Neuro Critical Care. Has 9 years experience.

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

kdneal

6 Posts

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!

jelly221,RN

306 Posts

Specializes in Neurosciences, cardiac, critical care. Has 3 years experience.

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

Jnurs4

19 Posts

Has 15 years experience.
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!