The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury

External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a the...

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Autores principales: Chau, Charlene Y. C., Craven, Claudia L., Rubiano, Andres M., Adams, Hadie, Tülü, Selma, Czosnyka, Marek, Servadei, Franco, Ercole, Ari, Hutchinson, Peter J., Kolias, Angelos G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780113/
https://www.ncbi.nlm.nih.gov/pubmed/31509945
http://dx.doi.org/10.3390/jcm8091422
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author Chau, Charlene Y. C.
Craven, Claudia L.
Rubiano, Andres M.
Adams, Hadie
Tülü, Selma
Czosnyka, Marek
Servadei, Franco
Ercole, Ari
Hutchinson, Peter J.
Kolias, Angelos G.
author_facet Chau, Charlene Y. C.
Craven, Claudia L.
Rubiano, Andres M.
Adams, Hadie
Tülü, Selma
Czosnyka, Marek
Servadei, Franco
Ercole, Ari
Hutchinson, Peter J.
Kolias, Angelos G.
author_sort Chau, Charlene Y. C.
collection PubMed
description External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a therapeutic ICP-lowering procedure in contemporary practice, remains unclear. No consensus has been reached regarding the drainage strategy and optimal timing of insertion. We review the literature on EVDs in the setting of TBI, discussing its clinical indications, surgical technique, complications, clinical outcomes, and economic considerations.
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spelling pubmed-67801132019-10-30 The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury Chau, Charlene Y. C. Craven, Claudia L. Rubiano, Andres M. Adams, Hadie Tülü, Selma Czosnyka, Marek Servadei, Franco Ercole, Ari Hutchinson, Peter J. Kolias, Angelos G. J Clin Med Review External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a therapeutic ICP-lowering procedure in contemporary practice, remains unclear. No consensus has been reached regarding the drainage strategy and optimal timing of insertion. We review the literature on EVDs in the setting of TBI, discussing its clinical indications, surgical technique, complications, clinical outcomes, and economic considerations. MDPI 2019-09-10 /pmc/articles/PMC6780113/ /pubmed/31509945 http://dx.doi.org/10.3390/jcm8091422 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Chau, Charlene Y. C.
Craven, Claudia L.
Rubiano, Andres M.
Adams, Hadie
Tülü, Selma
Czosnyka, Marek
Servadei, Franco
Ercole, Ari
Hutchinson, Peter J.
Kolias, Angelos G.
The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title_full The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title_fullStr The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title_full_unstemmed The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title_short The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
title_sort evolution of the role of external ventricular drainage in traumatic brain injury
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780113/
https://www.ncbi.nlm.nih.gov/pubmed/31509945
http://dx.doi.org/10.3390/jcm8091422
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