Do you routinely use pupillometry for serial neurologic examinations in the ICU, especially for patients at risk for transtentorial herniation?  

We frequently do pupillometry assessments on patients at high risk of ICP crisis. It gets rid of observer subjectivity as it is often an issue in ICUs. We have a protocol with the following indications for q1h pupillary assessments. It is not based on particular guidelines but serves as a good marke...

We do use quantitative pupillometry routinely in our neuro-ICUs (and in other ICUs throughout our hospitals) as part of the examination of patients at risk for central or uncal herniation. I agree with Dr. @Shah that it provides more objective measures of pupillary size, anisocoria, and pupilla...