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    Evd Evd Evd Evd Accudrain Accudrain Accudrain Accudrain: External Ventricular Device

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    Queen
    The document summarizes key information about using an external ventricular device (EVD) to drain cerebrospinal fluid (CSF) from the brain and monitor intracranial pressure (ICP). An EVD requires placement of a catheter directly into the lateral ventricle and can both drain CSF therapeutically and measure ICP diagnostically. It is prone to clotting if blood is present. Proper supplies, preparation, placement technique, monitoring, and drainage are described to safely use an EVD.

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    Evd Evd Evd Evd Accudrain Accudrain Accudrain Accudrain: External Ventricular Device

    Uploaded by

    Queen
    30 views1 page
    The document summarizes key information about using an external ventricular device (EVD) to drain cerebrospinal fluid (CSF) from the brain and monitor intracranial pressure (ICP). An EVD requires placement of a catheter directly into the lateral ventricle and can both drain CSF therapeutically and measure ICP diagnostically. It is prone to clotting if blood is present. Proper supplies, preparation, placement technique, monitoring, and drainage are described to safely use an EVD.

    Original Description:

    EVD management

    Original Title

    EVD

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    The document summarizes key information about using an external ventricular device (EVD) to drain cerebrospinal fluid (CSF) from the brain and monitor intracranial pressure (ICP). An EVD requires placement of a catheter directly into the lateral ventricle and can both drain CSF therapeutically and measure ICP diagnostically. It is prone to clotting if blood is present. Proper supplies, preparation, placement technique, monitoring, and drainage are described to safely use an EVD.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    Evd Evd Evd Evd Accudrain Accudrain Accudrain Accudrain: External Ventricular Device

    Uploaded by

    Queen
    The document summarizes key information about using an external ventricular device (EVD) to drain cerebrospinal fluid (CSF) from the brain and monitor intracranial pressure (ICP). An EVD requires placement of a catheter directly into the lateral ventricle and can both drain CSF therapeutically and measure ICP diagnostically. It is prone to clotting if blood is present. Proper supplies, preparation, placement technique, monitoring, and drainage are described to safely use an EVD.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    External Ventricular Device

    EVD AccuDrain
     Oldest type of monitor.  Flush AccuDrain with preservative free
     Requires the most skill to place-
    place-catheter tip is saline before attaching to catheter.
    placed directly into the lateral ventricle.  EVD is set to drain when the ICP
     Is both therapeutic (draining CSF) and exceeds the loop i.e.
    i.e. the EVD is
    diagnostic (measurement of ICP). looped
    looped at 12mmHg it will only drain
     In acute hydrocephalus the EVD is the ONLY when the ICP is >12.
    monitor that should be used.  Clamp the drain when transporting,
     Prone to clotting off if there is a significant HOB flat, and suctioning. Unclamp
    amount of blood present.
    present. when done.
    done
     2 types of ventricular catheters available at  Filter is hydrophobic so it can get wet
    Grant: TraumaCath Ventricular Catheter Set and still drain. The drain can be
    and Hermetic Large-
    Large-Style Ventricular Catheter positioned on its side in the bed for
    Set.
    Set. The Neurosurgeons prefer the transport.
    transport.
    TraumaCath as it has larger holes for  Drain is MRI compatible.
    drainage.  Transducer must be leveled at the
    Foramen of Monro
    Monro (external auditory
    meatus). Re-Re-level with any position
    change.
    Supplies Needed for Insertion  Cannot drain and monitor at the same
     Sterile gowns, gloves, and masks. time. Check ICP and waveform by
     Cranial access kit moving stopcocks at leastleast once an
     Ventricular Catheter hour.
    hour.
     AccuDrain  Monitor drainage hourly-
    hourly-amount and
    color. If drainage is >20ml/hr typical
     Preservative Free Saline-
    Saline-Pre Packaged 10ml order will be to clamp drain for 30
    Saline Syringes are preservative free. minutes then re-
    re-open. Overdrainage
     Transducer from Aline kit and cable to slave can lead to an acute SDH.
    into bedside monitor

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