Management of External Ventricular Drains After Subarachnoid Hemorrhage: A Multi-Institutional Survey.

ABSTRACT:

Background

Patients with aneurysmal subarachnoid hemorrhage (SAH) often develop hydrocephalus requiring an external ventricular drain (EVD). The best available evidence suggests that a rapid EVD wean and intermittent CSF drainage is safe, reduces complications, and shortens ICU and hospital length of stay as compared to a gradual wean and continuous drainage. However, optimal EVD management remains controversial and the baseline practice among neurological ICUs is unclear. Therefore, we sought to determine current institutional practices of EVD management for patients with aneurysmal SAH.

Methods

An e-mail survey was sent to attending intensivists and neurosurgeons from 72 neurocritical care units that are registered with the Neurocritical Care Research Network or have been

SUBMITTER: Chung DY 

PROVIDER: S-EPMC5444979 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature