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The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
Published on: October 2, 2014
Shunt lengthening: a descriptive review
1Columbia Presbyterian Medical Center, New York, New York.
Insights
Pediatric shunt lengthening, a minor neurosurgery, rarely leads to infection. This study developed an informational fact sheet for parents and updated nursing management to improve cost efficiency and patient care.
Area of Science:
- Neurosurgery
- Pediatric Care
- Nursing Management
Background:
- Shunt lengthening is a common neurosurgical procedure in pediatric patients.
- It involves hospitalization, which can be burdensome for families with previously hospitalized children.
- The most common complication is infection, necessitating careful monitoring.
Purpose of the Study:
- To assess the incidence of infection following routine shunt lengthening in pediatric patients.
- To develop an informational resource for parents regarding the shunt lengthening procedure.
- To optimize nursing management for cost efficiency and patient safety.
Main Methods:
- A retrospective review of 27 pediatric patients who underwent shunt lengthening.
- Parental surveys to gauge information needs regarding the procedure.
- Development and implementation of a patient/parent fact sheet.
- Modification of nursing management protocols.
Main Results:
- None of the 27 reviewed patients developed shunt infection post-operatively.
- Parents expressed a need for clear, accessible information about shunt lengthening.
- Revised nursing management protocols were successfully implemented.
Conclusions:
- Routine shunt lengthening in pediatric patients has a low risk of infection.
- Providing comprehensive information and adjusting nursing care can enhance patient and family experience.
- Optimized nursing management contributes to cost-efficiency in pediatric neurosurgery care.
Abstract:
Shunt lengthening is a neurosurgical procedure unique to the pediatric patient. It is considered to be a minor operation to the professional, but means another hospitalization to parents of children who have often times already had many hospitalizations. A review of 27 children who underwent routine shunt lengthening revealed that none developed the most common complication of infection following this operation. After questioning parents about their need for information on shunt lengthening, a fact sheet explaining the procedure was written. As a result of our findings and need to be more cost efficient while safely caring for patients, we have been successful in changing nursing management of these children.
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