External ventricular drainage - The most frequent neurosurgical procedure. A review and practical considerations

Autores

DOI:

https://doi.org/10.52329/AvanMed.52

Palavras-chave:

External ventricular drainage, Neurosurgery procedures, Hydrocephalus

Resumo

Abstract

In the present article, the authors wish to review and comment on a few practical considerations regarding external ventricular drainage (EVD). External ventricular drainage is the most frequent procedure with intracranial access in neurosurgical practice. Despite its importance for saving lives, it still seems to be undervalued, being performed many times by young doctors in the early years of their neuro-surgery residency program. In the vast majority, the technique is performed in an emergency scenario when there is a high risk of death for the individual. The main indication for performing an EVD is hydrocephalus. Increased ventricular volume due to difficulty in circulation or absorption of cerebrospinal fluid (CSF) can have numerous causes, such as intraventricular bleeding, infection, obstruction of CSF drainage pathways by intracranial tumors, cerebellar stroke/edema, and traumatic brain injury. Despite being a life-saving neurosurgical procedure, complications can occur; some are serious and can cause permanent neurological deficits and even death. Infection and hemorrhage are the most frequent complications. The most feared infection is ventriculitis, with high frequency when EVD remains for more than ten days. We conclude that the procedure for implanting an EVD is an intervention with potential risk and must be performed following rigorous protocols to avoid serious complications.

Downloads

Não há dados estatísticos.

Downloads

Publicado

2022-12-15

Como Citar

1.
Valença MM, Bem Junior LS, Silva ACV, Ribeiro EC de O, Nascimento JJC do, Valença MF, Valença MA, Silva UAV da, Andrade-Valença LPA, Azevedo Filho HRC de. External ventricular drainage - The most frequent neurosurgical procedure. A review and practical considerations. am [Internet]. 15º de dezembro de 2022 [citado 29º de março de 2024];2(2):26-30. Disponível em: https://jornalavancosmedicina.com/index.php/am/article/view/83

Edição

Seção

ARTIGO DE REVISÃO

Artigos mais lidos pelo mesmo(s) autor(es)

1 2 > >>