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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

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Related Experiment Video

Updated: May 25, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

A US-based survey on ventriculostomy practices.

Tausif Rehman1, Atiq-ur Rehman, Amina Rehman

  • 1Department of Neurosurgery, University of New Mexico, Albuquerque, NM, USA.

Clinical Neurology and Neurosurgery
|January 20, 2012
PubMed
Summary

Neurosurgical practice patterns for ventriculostomy placement reveal frequent catheter misplacements and multiple attempts. Surgeons require more data on guidance systems and abnormal anatomy to improve ICP monitoring procedures.

Related Experiment Videos

Last Updated: May 25, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

Area of Science:

  • Neurosurgery
  • Medical Devices
  • Patient Monitoring

Background:

  • Intracranial pressure (ICP) monitoring incidence and indications have expanded.
  • Ventriculostomy and ICP monitor placement are common neurosurgical procedures.
  • Current practice patterns for these procedures are understudied.

Purpose of the Study:

  • To investigate current practice patterns in ventriculostomy placement among neurosurgeons and residents.
  • To identify factors influencing technique selection and management of failed placements.
  • To understand perceived needs for improving evidence-based practice.

Main Methods:

  • A 10-question survey was distributed to 2006 neurosurgeons and 1060 neurosurgery residents in the US.
  • The survey collected data on demographics, success rates, failure management, and use of technological aids.
  • Response rates were 23.9% for surgeons and 10.2% for residents.

Main Results:

  • Significant rates of catheter misplacement were reported (2.2% reporting >30% misplacements).
  • Image guidance was used by 51.7% for slit-ventricle cases; freehand technique by 41.6%.
  • 56.9% abandoned freehand placement after 3 failed attempts, often switching to ICP bolts.

Conclusions:

  • Current ventriculostomy placement practices involve multiple attempts and notable catheter misplacement rates.
  • Neurosurgeons and residents require more data on guidance systems and handling complex anatomy.
  • A prospective study is recommended to establish evidence-based practices for ventriculostomy.