A Practical Guide to Portable Pupillometry

A practical, user-friendly guide to the applications of portable infrared pupillometry, summarizing the various reflexes of the pupil.

Merlin D. Larson (Author)

9781009436298, Cambridge University Press

Paperback / softback, published 21 November 2024

166 pages
23.3 x 15.4 x 1 cm, 0.26 kg

'Portable Pupillometry is increasingly being used as a diagnostic tool in clinical practice and holds tremendous promise to further expand our monitoring abilities of central nervous function. However, few users of infrared pupillometry are aware about its diagnostic possibilities and limitations or know about its many established - and potential future - clinical applications. This book closes this gap, serving both as an introduction to the field and as a reference to the experienced clinician or researcher using pupillometry. As the leading expert in the field of portable pupillometry, Merlin Larson's pioneering work laid the foundations of pupillometry use in anesthesia, pain management and resuscitation. This book gives the reader access to Dr. Larson's vast knowledge in an exciting, expanding field of clinical care and scientific exploration.' Matthias Behrends, M.D., Health Science Clinical Professor, Department of Anesthesia and Perioperative Care, UCSF, Medical Director of Inpatient Pain Services

The applications and advantages of portable pupillometry for a wide variety of healthcare providers are becoming increasingly evident, with frequent pupil evaluation becoming the protocol throughout critical care and emergency departments. Authored by a world leading expert, this practical, user-friendly book brings together all the research on portable pupillometry and explains the meaning of the various parameters that new portable pupillometers provide. Starting with the anatomy and physiology of the pupil, the book moves on to discuss pharmacological effects, unusual pupillary syndromes, measurement and size of the pupil, pupillary reflex dilation and pupillary unrest. Additional chapters focus on traumatic brain injury, cardiac arrest, intensive care, opioid effect, acute pain and anisocoria and provide valuable clinical examples and case reports. Also featuring an extensive bibliography for further reading, this book is essential reading for all healthcare professionals using the pupil to evaluate drug effects and ischemic/traumatic insults to the brain.

Preface
Acknowledgements
Glossary
Introduction
1. Early history of the pupil
2. Anatomy of the pupil
3. Physiology of the pupil
4. Pharmacology of the pupil
5. Unusual pupillary syndromes
6. Measurement of the pupil
7. Pupil size
8. Pupillary light reflex
9. Pupillary reflex dilation
10. Measuring inhibition at the EW nucleus
11. Traumatic brain injury, cardiac arrest, intensive care
12. Opioid effect and acute pain
13. Anisocoria
14. Clinical examples and case reports
Conclusion
References
Index.

Subject Areas: Anaesthetics [MMB]