相关实验视频

Updated: Jun 22, 2025

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

外腔室排水的管理:断奶还是不断奶?

Tim Jonas Hallenberger^1,2, Thavena Tharmagulasingam², Maria Licci¹

¹Department of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Acta neurochirurgica

|July 2, 2024

概括

逐渐的外部心室排水 (EVD) 断奶并没有降低永久性脑脊液转移率. 然而,与快速关闭相比,这种策略增加了感染风险和住院时间. 直接EVD关闭可能是最好的.

科学领域:

神经外科神经外科
关键护理医学关键护理医学
神经外科手术神经外科手术

背景情况:

外腔室排水 (EVDs) 在神经外科手术中很常见,15-30%的患者需要永久的脑脊液 (CSF) 转移.
断奶EVD的最佳策略仍然不确定,关于逐步或快速关闭方法的持续辩论.

研究的目的:

为了比较逐渐EVD断奶和快速关闭之间的永久CSF转移率.
评估二次结果,包括住院时间和与埃博拉病毒相关的发病率.

主要方法:

从2010年到2020年进行了一项单一中心的回顾性队列研究.
患者被分为一个逐渐断奶组 (WG) 和一个非断奶 (快速关闭) 组 (NWG).
主要结果是永久性CSF转移率;次要结果包括住院时间和感染率.

主要成果:

在断奶组 (39.9%) 和未断奶组 (37.8%) 之间,永久性CSF转移率相似.
断奶组的EVD相关感染率 (13.5%对1.8%) 和非EVD相关感染率 (2.8%对0%) 显着更高.
与未断奶组 (23.66天) 相比,断奶组的住院时间更长 (24.93天).

结论:

逐渐的EVD断奶似乎不会减少永久CSF转移的必要性.
逐渐断奶与感染率增加和住院时间延长有关.
应考虑直接封闭EVD作为临床选择.

关键词:

动脉瘤性脑下关节下垂体出血外腔室排水管是外腔室的排水管.头部液体的情况.神经外科神经外科创伤性脑损伤是一种创伤性脑损伤.

更多相关视频

Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation

Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation

Published on: March 17, 2023

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

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

Published on: October 14, 2022

相关概念视频

Endotracheal Tube Extubation

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....

Tracheostomy Decannulation

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...