Bilateral External Ventricular Drain Placement and Intraventricular Irrigation Combined with Concomitant Serial Prone Patient Positioning: A Novel Treatment for Gravity-Dependent Layering in Bacterial Ventriculitis.

摘要: A feared complication of ventricular access for drainage or shunting is ventriculitis. Early diagnosis and treatment vital to prevent morbidity mortality. Efficacy directed antibiotic therapy in ventriculitis limited by increasing multidrug resistant microorganisms insufficient systemic absorption into the cerebrospinal fluid. Treatment may involve intravenous and/or intrathecal antibiotics as well external drainage. We present first case report suggesting a potential role novel technique - direct catheter-mediated continuous saline irrigation serial prone patient positioning treat fulminant bacterial This promotes egress purulence from ventricles result more rapid control intraventricular infectious burden.