2018年3月26日 · Hydrocephalus is a medical emergency and its treatment involves inserting an external ventricular drain (EVD) into one of the lateral ventricles of the brain to remove excess cerebrospinal fluid (CSF). This article discusses the essentials of nursing care for patients with EVDs. CSF circulation

2021年9月16日 · EVD. The EVD has two major advantages: the ability to treat elevated ICP via CSF diversion and the ability to sample CSF. Note, though, EVDs are not the only way to accomplish CSF diversion. Lumbar drains can also be used for CSF diversion and can be used to give ICP data (PMID: 20953846) although EVDs are still considered the gold standard. If ...

2022年6月22日 · EVD insertion or removal. Both EVD insertion and removal carry significant risks of bleeding. Chemical DVT prophylaxis (i.e., s.q. heparin) should be held prior to insertion or removal. Patients should be managed with intermittent pneumatic compression devices when chemical DVT prophylaxis isn't possible.

We reviewed the most recent and relevant articles about indications, timing, management, and complications of EVD in neurocritical care, with particular interest in patients with subarachnoid hemorrhage (SAH), severe traumatic brain injury (TBI), and intraventricular hemorrhage (IVH) using the following keywords alone or matching with one ...

Insertion of an External Ventricular Drain (EVD) is arguably one of the most common and important lifesaving procedures in neurologic intensive care unit. Various forms of acute brain injury benefit from the continuous intracranial pressure (ICP) monitoring and cerebrospinal fluid (CSF) diversion provided by an EVD.

2023年8月1日 · The nursing responsibilities for EVD management include monitoring for signs of infection or bleeding, dressing changes, assessing intracranial pressure, assessing the patient's neurologic status, immediate attention to signs of brain herniation, documenting CSF output, and efficient communication with the neurosurgeon or ICU physician. 18 Our ...

External ventricular drains (EVDs) are com-monly placed to monitor intracranial pressure and manage acute hydrocephalus in patients with a variety of intracra-nial pathologies.

ventricular drain (EVD) into one of the lateral ventricles of the brain to remove excess cerebrospinal fluid (CSF). This article discusses the essentials of nursing care for patients with EVDs. CSF circulation Cerebrospinal fluid is a clear, odourless liquid containing substances that bathes the brain and spinal cord, providing

External ventricular drain (EVD): A temporary system that allows drainage of cerebral spinal fluid (CSF) from the ventricles to an external closed system. Intracranial pressure (ICP) monitoring: A temporary device allowing measurement and recording of intracranial pressure.

Clinical Review. An EVD is used to divert cerebral spinal fluid (CSF) primarily in patients with traumatic brain injury (TBI), hydrocephalus, subarachnoid hemorrhage (SAH), meningitis, and shunt malfunction but are not limited to this list. The advantages of an EVD include intracranial pressure monitoring and therapeutic drainage of CSF.