The misplacement of external ventricular drain by freehand method in emergent neurosurgery.

作者: Guann Juh Chen , Yuan Hao Chen , Cheng Ma Cheng , Da Tong Ju , Hao Yiang Wu

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摘要: External ventricular drain (EVD) placement is one of the most basic and common neurosurgical procedure which was performed by young trainees. This study conducted to determinate safe accuracy EVD freehand method. About 129 placements were evaluated in this study. Eighty-three catheters (64.3%) located ipsilateral frontal horn or third ventricle. The functional 86%. Of eighteen misplaced catheters, only 4 (3.1 %) nonfunctional, requiring a replacement reposition. higher rate significantly observed patients whose head CT scans revealed lower hydrocephalus ratio (28.85%) smaller size (5.6mm). Twenty-one (16.2%) new hemorrhages associated with observed. Using method, effective management these emergent diseases.

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