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Evidence-Based Management of External Ventricular Drains
- Source :
- Curr Neurol Neurosci Rep
- Publication Year :
- 2019
-
Abstract
- PURPOSE OF REVIEW: The optimal management of external ventricular drains (EVD) in the setting of acute brain injury remains controversial. Therefore, we sought to determine whether there are optimal management approaches based on the current evidence. RECENT FINDINGS: We identified 2 recent retrospective studies on the management of EVDs after subarachnoid hemorrhage (SAH) which showed conflicting results. A multicenter survey revealed discordance between existing evidence from randomized trials and actual practice. A prospective study in a post-traumatic brain injury (TBI) population demonstrated the benefit of EVDs but did not determine the optimal management of the EVD itself. The recent CLEAR trials have suggested that specific positioning of the EVD in the setting of intracerebral hemorrhage with intraventricular hemorrhage may be a promising approach to improve blood clearance. SUMMARY: Evidence on the optimal management of EVDs remains limited. Additional multicenter prospective studies are critically needed to guide approaches to the management of the EVD.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
Subarachnoid hemorrhage
Population
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
Humans
Prospective Studies
Intensive care medicine
education
Retrospective Studies
Intracerebral hemorrhage
education.field_of_study
Evidence-Based Medicine
business.industry
General Neuroscience
Evidence-based management
Disease Management
Retrospective cohort study
Subarachnoid Hemorrhage
medicine.disease
Cerebrospinal Fluid Shunts
030104 developmental biology
Intraventricular hemorrhage
Brain Injuries
Drainage
Neurology (clinical)
business
030217 neurology & neurosurgery
External ventricular drain
Hydrocephalus
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Curr Neurol Neurosci Rep
- Accession number :
- edsair.doi.dedup.....b2550ccc9627d33cf289dc6f12a7d807