#Brisk pupil reaction serial

The NeurOptics NPi ®-200 Pupillometer is a handheld, automated device that provides an accurate, reliable, and objective measurement of pupillary size, symmetry, and reactivity through measurement of the entire pupillary light reflex (PLR). Manual pupillary assessment, using a flashlight or penlight, is prone to many sources of inaccuracy and is characterized by subjectivity and low interrater reliability.

Pupillary changes correlate with neurological worsening and yet are often undetectable using traditional manual assessment methods.

#Brisk pupil reaction serial

Accurate serial neurological assessment is imperative to 1) rapidly detect changes that may indicate neurologic deterioration, 2) guide patient management, 3) determine the effect of therapeutic interventions and 4) inform prognosis.Īssessment of pupil size and the pupillary light reflex is a critical component of the neurological exam for patients in various settings (26, 50, 55) such as the Emergency Department (ED), Intensive Care Unit (ICU), Operating Room (OR), Post Anesthesia Care Unit (PACU), diagnostic areas such as Interventional Radiology (IR), and Progressive Care Units (PCU). Patients with primary or secondary neurological insult are at risk for development of hydrocephalus, cerebral edema, elevated intracranial pressure (ICP), and brain herniation. As standard of care, all critically ill patients require routine neurologic examination, including pupillary assessment.