Onse rate neurosurgeons and neuro-intensive care physicians were 63% and 74%. The number of severe head injuries per year varies between units managed cases of 50 150 F. Sixteen percent of NVP-TAE684 ALK inhibitor the shares used DEA is customary to monitor the ICP reported, 17% had never used this technique and the remaining 67% occasionally. Of the 16% who used EVD, ICP’s regularly Ig only 60% used CSF drainage increased to Hten to treat ICP. Eighty percent of the shares agreed that drainage of CSF has r In the administration of increased Important Hten ICP, compared with 20% that of CSF drainage was believed no value. Among the beneficial CSF drainage for the treatment of 47% would be obtained Hten ICP in the presence of hydrocephalus considered, the ventricles train Accessible or patent applications, compared to 53%, the drug at the maximum Not consider water therapy contr l EVD or ICP was already in situ.
Sixty percent of the CSF drainage units continuously from 17% dehydrated Munich plant, and CSF with interruptions. There was betr Chtliche variability t in the use of CSF drainage from TW-37 877877-35-5 the second level therapies such as barbiturate coma, craniectomy and therapeutic hypothermia. Forty-eight percent of the shares which he has used before craniectomy, before barbiturate coma, 41% and 11% before therapeutic hypothermia. The cons-indications pointed to the establishment of ventricular drainage in patients with head injuries inlude: slit ventricles, coagulopathy, infection, mid-shift, or emissions, a compound of penetrating trauma and mass L.
Complications of CSF drainage, which have been reported are: constipation, infections, improper placement, expulsion, bleeding and Drug Administration in the DEA. CONCLUSION. Although, the majority of the shares, the drainage of CSF is an R Important receive in the management of ICP, there was no consensus on the timing, indications, and H Of CSF drainage by FREQUENCY in comparison to other therapies second. REFERENCE (S. 1, Kay A, Teasdale G. Head injury in the United K Kingdom. World Journal of Surgery 2001, 25 (20 9:1210 2. Foundation head injury. Foundation head injuries. The American Association of Neurosurgeons. Joint Section on Neurotrauma and Critical Care Nutrition Journal Neurotrauma 2000, 17. 539th 47th 0671 8 years experience DRAINAGE external ventricular ren (DEA A. ICU neurotrauma A. Aguilar Ruiz, V. Mun oz Marina, Pino F.
Sanchez Sanchez Gonzalez, R. Lara Rosales, F. Guerrero Lopez, Navarrete Navarro P., Carazo E. de la Fuente, E. Fernandez Mondejar ICU, University Pital H t Virgen de las Nieves y Rehabilitaci��n trauma, Granada, Spain INTRODUCTION. external ventricular drainage placement is g standard practice in our intensive care unit as a diagnostic and therapeutic technique. Our goal is Conna be the profile of the enrolled patients required the ICU DEA observed the incidence of complications and risk factors associated. METHODS. observational study including normal for all patients the intensive care unit in a neurotrauma that required placement of the DEA to a cause over a period of eight years (1999, 2007.
data collected demographic characteristics, prognostic scores (APACHE II and APACHE III, the reason for admission, EVD placement Indications, Glasgow Coma Scale taken before and after the DEA, complications, duration of drainage, the cause of the resignation, the incidence of infection and the need for ventricular perithoneal re maneuvering. Cualitative variables as a percentage of a variable cuantitative the media SD or median and percentiles. students be expressed, and were st chi2 be used to compare media dependent ngig on the type of variable.A p \ 0.05 was considered statistically significant. RESULTS. The group includes 168 patients studied, 56% M men, 57 17 years on average. h common cause of admission was subarachnoid hemorrhage (48.2%, with an APACHE II 20.69 8.77 66.48 29.87 and APACHE III. The main indication for EVD was hydrocephalus (92% . DEA, 7 [placed 4.
12] days on average. reasons for withdrawal were the Unlk Ren on the cause of the indication (41% and exitus (38%. infection was observed in 11%, with the h most frequent complication, followed by bleeding. In Although infection h more common in DEA in the ICU than those placed in the operating room, there was no significant difference was observed. In addition, we found that significant difference in the duration of EVD placement between patients without infection and patients with infection (8.13 vs. 6.56 17.68 16.88 days, p \ .05 died. than 50% of patients may need during the treatment. GCS 12 hours after the EVD was 64, w show while surviving a GCS of 12 hours after the DEA 113 (statistically significant. over 19% required shunt placement ventricularperithoneal that h more frequently in patients one hour higher rate of cerebrospinal fluid (250.56 109.35 153.09 VS 130.92, p \ 0.05. CONCLUSION. In our experience, patients who needed EVD severity scores and mortality t high. The main indication for EVD placement were hydrocephalus. We observed very few complications associated with DEA-PLA