Technical procedure for draining the ventricles out

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Posted by Master, Doctor Le Thai Bao - ICU Doctor - Intensive Care Department - Vinmec Times City International General Hospital

Emergency departments have to receive and treat a series of neurological emergency patients, including medical and surgical diseases such as: cerebral hemorrhage, subarachnoid hemorrhage, cerebral infarction, traumatic brain injury... Controlling intracranial pressure (ICP) is of vital importance and requires early treatment in parallel with the management of the cause of increased intracranial pressure.

Ventricular drainage, placing a catheter into the ventricle to monitor pressure is considered the gold standard in ICP research and is a method that allows to reduce ICP through drainage of CSF.

1. Indication of anatomical landmarks for ventricular drainage


Cases in which anatomical landmarks for ventricular drainage are indicated include:
Acute ventricular dilatation: increased intracranial pressure, monitoring intracranial pressure Injecting drugs directly into the ventricles (antibiotics, fibrinolytics) )
Technical procedure for draining the ventricles out

2. Contraindications to ventricular drainage surgery


Contraindications to ventricular drainage surgery may include:
Coagulation disorder (relative contraindication) Abnormal mass (aneurysm or arteriovenous malformation) located in the path of the catheter

3. Perform ventricular drainage surgery

Instruments for conducting ventricular drainage surgery include:
Aseptic operating room (or sterile operating room) Infusion line, electric syringe pump (for anesthesia) Ventilator Hand drill Bipolar electric knife (if available) Prescription Head Ventricular Drainage Kit (with drill bit available) Sterile gauze gauze

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Hopefully with some information about the technical procedure of draining the ventricles out
has helped you better understand medical procedures.
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