Avoiding pullout complications in external ventricular drains: technical note
| Autor: | María José Mayorga-Buiza, Mónica Rivero-Garvía, Javier Márquez-Rivas, Manuel E. Jiménez-Mejías, María de los Ángeles Cañizares-Méndez, Carlos Velasquez |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Operative Time Cerebral Ventricles Ventriculostomy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Retrospective analysis Humans Medicine Complication rate Single institution Child Retrospective Studies Fixation (histology) Sutures business.industry Technical note General Medicine Surgery Treatment Outcome Child Preschool 030220 oncology & carcinogenesis Drainage Operative time Equipment Failure Female business 030217 neurology & neurosurgery Bandages Hydrocolloid External ventricular drain |
| Zdroj: | Journal of Neurosurgery. 126:1003-1005 |
| ISSN: | 1933-0693 0022-3085 |
| DOI: | 10.3171/2016.2.jns1678 |
| Popis: | This report describes a reliable and simple technique for securing external ventricular drains (EVDs) to the scalp and avoiding pullout complications. The operative technique consists of fixing the drain between 2 hydrocolloid dressings and securing it with staples. A 10-year retrospective analysis of EVD pullout complications was performed in a series of 435 consecutive patients who were treated at a single institution. The EVD pullout complication rate was 0.4%. No complications related to the fixation technique were found. The median operative time required to fix the drain was 60 seconds. The technique presented here is a simple and reliable procedure to fix the EVD to the scalp, preventing pullout complications and thus reducing the morbidity of EVD reimplantation. |
| Databáze: | OpenAIRE |
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