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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.
  • Chau CYC; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK.
  • Craven CL; Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N3BG, UK.
  • Rubiano AM; Neurosciences Institute, INUB-MEDITECH Research Group, El Bosque University, 113033 Bogotá, Colombia.
  • Adams H; NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge CB20QQ, UK.
  • Tülü S; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK.
  • Czosnyka M; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK.
  • Servadei F; Department of Neurosurgery, Innsbruck Medical University, 6020 Innsbruck, Austria.
  • Ercole A; Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK.
  • Hutchinson PJ; Department of Neurosurgery, Humanitas University and Research Hospital, 20090 Milan, Italy.
  • Kolias AG; Division of Anaesthesia, Addenbrooke's Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK.
J Clin Med ; 8(9)2019 Sep 10.
Article en En | MEDLINE | ID: mdl-31509945
ABSTRACT
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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Texto completo: 1 Banco de datos: MEDLINE Idioma: En Año: 2019 Tipo del documento: Article
Texto completo
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PubMed Links
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Texto completo: 1 Banco de datos: MEDLINE Idioma: En Año: 2019 Tipo del documento: Article