scholarly journals External ventricular drainage combined with continuous lumbar drainage in the treatment of ventricular hemorrhage

2019 ◽  
Vol Volume 15 ◽  
pp. 677-682 ◽  
Author(s):  
Dayong Xia ◽  
Xiaochun Jiang ◽  
Zhenbao Li ◽  
Yuelong Jin ◽  
Yi Dai
Keyword(s):  
External Ventricular Drainage ◽  
Ventricular Drainage ◽  
Lumbar Drainage ◽  
Ventricular Hemorrhage

scholarly journals Intracranial Pressure during External Ventricular Drainage Weaning Is an Outcome Predictor of Traumatic Brain Injury

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Jia-cheng Gu ◽  
Hong Wu ◽  
Xing-zhao Chen ◽  
Jun-feng Feng ◽  
Guo-yi Gao ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
External Ventricular Drainage ◽  
Unfavorable Outcome ◽  
Ventricular Drainage ◽  
Outcome Group ◽  
Significant Difference ◽  
The Mean ◽  
The Relationship

External ventricular drainage (EVD) is widely used in patients with a traumatic brain injury (TBI). However, the EVD weaning trial protocol varies and insufficient studies focus on the intracranial pressure (ICP) during the weaning trial. We aimed to establish the relationship between ICP during an EVD weaning trial and the outcomes of TBI. We enrolled 37 patients with a TBI with an EVD from July 2018 to September 2019. Among them, 26 were allocated to the favorable outcome group and 11 to the unfavorable outcome group (death, post-traumatic hydrocephalus, persistent vegetative state, and severe disability). Groups were well matched for sex, pupil reactivity, admission Glasgow Coma Scale score, Marshall computed tomography score, modified Fisher score, intraventricular hemorrhage, EVD days, cerebrospinal fluid output before the weaning trial, and the complications. Before and during the weaning trial, we recorded the ICP at 1-hour intervals to calculate the mean ICP, delta ICP, and ICP burden, which was defined as the area under the ICP curve. There were significant between-group differences in the age, surgery types, and intensive care unit days (p=0.045, p=0.028, and p=0.004, respectively). During the weaning trial, 28 (75.7%) patients had an increased ICP. Although there was no significant difference in the mean ICP before and during the weaning trial, the delta ICP was higher in the unfavorable outcome group (p=0.001). Moreover, patients who experienced death and hydrocephalus had a higher ICP burden, which was above 20 mmHg (p=0.016). Receiver operating characteristic analyses demonstrated the predictive ability of these variables (area under the curve AUC=0.818 [p=0.002] for delta ICP and AUC=0.758 [p=0.038] for ICP burden>20 mmHg). ICP elevation is common during EVD weaning trials in patients with TBI. ICP-related parameters, including delta ICP and ICP burden, are significant outcome predictors. There is a need for larger prospective studies to further explore the relationship between ICP during EVD weaning trials and TBI outcomes.

EARLY TREATMENT OF POST-HEMORRHAGIC VENTRICULAR DILATATION OF THE NEWBORN WITH LONG-TERM EXTERNAL VENTRICULAR DRAINAGE.

1994 ◽  
Vol 22 (s1) ◽  
pp. 185-186
Author(s):  
M.L. Massone ◽  
A. Cama ◽  
V.F. Puccio ◽  
G. Montobbio ◽  
M. Soliani ◽  
...  
Keyword(s):  
Early Treatment ◽  
External Ventricular Drainage ◽  
Ventricular Dilatation ◽  
Ventricular Drainage
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