Oculovestibular Reflex Testing During Brain Death Examination by D. Urion, et al. | OPENPediatrics

Quick Concepts are short videos that describe a key physiological or theoretical concept, or demonstrate a brief procedure.
In this video, Dr. David Urion demonstrates how to test a patient's oculovestibular reflex, and how it can help to determine whether your patient is in a coma.
Please visit: www.openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: [e-mail]
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by UA-cam. We apologize for any inconvenience this may cause.

[@yeseniaurquilla3703]

Thank you for the video. In a comatose patient with an intact brainstem, the eyes drift toward the irrigated ear, no response to stimulation indicates brainstem injury. It's important to mention that you should wait for 3 to 5 minutes for the 1st response to disappear before repeating on the opposite side.

[@user-kw8ec8mm9x]

GREAT!!

[@anugraharajan5250]

Thanks Sir

[@cotnepersonal]

Damn last animation was creepy 😃 ty for video

[@syazahanis4645]

thank you for this video sir! Tomorrow I have final exam of MBBS. hope everything going smooth :)

[@s.j3995]

🌻

[@user-dvv1123]

What happens if we instill cold water in both ears simulteneously when cortex and brain stem are intact?

[@ekagunadi1934]

why would you do that

[@amangoman3848]

I guess...there is a mistake sir....when you instill cold water into Right ear,there is initial eye movement to ipsilateral side(Right) and then horizontal nystagmus to contralateral side(Left)....which goes by COWS....cold-nystagmus in opposite...But,in your video....it is saying opposite ....I apologize,if I am wrong...?

[@Mrgyrusrectus]

That is only present in awake patient where the cortical activity is present.

[@miro1mimi]

Probably a dumb question but why cold water?

[@haziqsofian]

This reflex was triggered by sudden and drastic change in temperature