RT Book, Section
A1 Rahmani, Redi
A1 Lawton, Michael T.
A1 Vates, G. Edward
SR Print(0)
ID 1201301867
T1 Complication Management
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=1201301867
RD 2024/10/10
AB CHAPTER  SUMMARYLike  any  other  procedure  or  device,  external  ventricular  drain  (EVD)  and  lumbar  drain  (LD)  use  can  result  in  complications.  You  should  be  aware  of  the  range  of  complications  that  can  occur  with  both  types  of  drains  and  follow  existing  protocols  to  manage  each  complication.  Intracranial  hemorrhage  can  occur  with  EVD  placement,  and  spinal  epidural  hemorrhage  can  occur  with  LD  placement.  Both  drains  can  also  lead  to  infections  such  as  ventriculitis  and  meningitis.  If  lumbar  drainage  is  overaggressive,  it  can  precipitate  a  subdural  hemorrhage  or  even  brain  herniation.  Finally,  given  the  prolonged  immobilization  of  patients  with  either  an  EVD  or  an  LD  or  both,  you  must  always  keep  venous  thromboembolism  in  mind  as  an  ever-present  concern.