Perioperative Management of Adult Patients with External Ventricular
SPECIAL ARTICLE Perioperative Management of Adult Patients With External Ventricular and Lumbar Drains: Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care Abhijit V. Lele, MBBS, MD, MS,* Amie L. Hoefnagel, MD,w Nina Schloemerkemper, MD, Dr. med., FRCA,z David A. Wyler, MD,y Nophanan Chaikittisilpa, MD,8 Monica S. Vavilala, MD,z Bhiken I. Naik, MBBCh,# James H. Williams, MD, PhD,** Lakshmikumar Venkat Raghavan, MBBS, MD, FRCA, FRCPC,ww and Ines P. Koerner, MD, PhD,zz Representing SNACC Task Force for Developing Guidelines for Perioperative Management of External Ventricular and Lumbar Drains Key Words: external ventricular drain, ventriculostomy, lumbar Abstract: External ventricular drains and lumbar drains are drain, guidelines, perioperative, management, leveling, trans- commonly used to divert cerebrospinal fluid and to measure port, checklist, competency cerebrospinal fluid pressure. Although commonly encountered in the perioperative setting and critical for the care of neuro- (J Neurosurg Anesthesiol 2017;29:191–210) surgical patients, there are no guidelines regarding their man- agement in the perioperative period. To address this gap in the literature, The Society for Neuroscience in Anesthesiology & xternal ventricular drains (EVDs) and lumbar drains Critical Care tasked an expert group to generate evidence-based E(LDs) are temporary devices placed into the lateral guidelines. The document generated targets clinicians involved ventricles of the brain and lumbar subarachnoid space, in perioperative care
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