RT Book, Section
A1 Rahmani, Redi
A1 Lawton, Michael T.
A1 Vates, G. Edward
SR Print(0)
ID 1201301735
T1 Procedure
T2 External Ventricular and Lumbar Drains: Indications, Procedures, and Patient Care
YR 2024
FD 2024
PB McGraw Hill
PP New York, NY
SN 9781264268290
LK neurology.mhmedical.com/content.aspx?aid=1201301735
RD 2024/09/08
AB CHAPTER  SUMMARYAn  external  ventricular  drain  (EVD)  placement  procedure  starts  with  proper  patient  positioning.  Hair  is  clipped,  skin  is  prepared,  and  an  incision  is  made.  A  drill  is  used  to  create  the  burr  hole.  The  burr  hole  must  follow  a  well-planned  trajectory.  Next,  the  dura  is  fenestrated,  and  the  tract  is  created.  The  catheter  is  passed,  and  cerebrospinal  fluid  (CSF)  flow  is  confirmed.  The  catheter  is  tunneled  and  secured  to  the  skin.  Finally,  the  incision  is  closed,  and  the  catheter  is  attached  to  the  transducer.  Lumbar  drain  (LD)  placement  also  starts  with  proper  patient  positioning.  After  the  skin  is  prepared,  the  Tuohy  needle  is  passed  into  the  thecal  sac.  Once  CSF  flow  is  confirmed,  the  catheter  is  passed  and  the  needle  is  removed.  The  drain  is  secured  and  connected  to  the  transducer.