title: Controlled Suction with Venous Catheter Irrigation in Neurosurgery: A Cost Effective Technique.
abstract: BACKGROUND
  Keeping the operating field clean and visible is an important technique in neurosurgery. Continuous irrigation-suction (IS) of the surgical field is currently often done using devices available that are expensive and demand technical proficiency. We report a simple method of continuous IS using a widely available central venous catheter and a controlled suction cannula.
  
  
  METHODS
  We used a controlled suction cannula attached to a central suction system. A single lumen central venous catheter is passed through the keyhole of a controlled suction cannula, which is connected to a continuous irrigation system.
  
  
  RESULTS
  The operative field was clean throughout the procedure, obviating the need for an assisting surgeon to irrigate into the deep operating field and, hence, reducing the duration of surgery.
  
  
  CONCLUSIONS
  The proposed IS system could be surgeon friendly, easily manageable, yet cost-effective and efficient.
authors.affiliation: Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India. Electronic address: manaspanigrahi@live.com.
authors.forename: Manas
authors.initials: M
authors.lastname: Panigrahi
authors.affiliation: Department of Neurosurgery, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.
authors.forename: Manoranjitha
authors.initials: M
authors.lastname: Kumari
authors.affiliation: Department of Neurology, Krishna Institute of Medical Sciences, Secunderabad, Telangana, India.
authors.forename: Sudhindra
authors.initials: S
authors.lastname: Vooturi
mesh_terms: D057785:Catheters / Q000191:economics; D003362:Cost-Benefit Analysis; D006801:Humans; D019635:Neurosurgical Procedures / Q000191:economics / Q000379:methods*; D013396:Suction / Q000191:economics / Q000379:methods; D007507:Therapeutic Irrigation / Q000191:economics / Q000379:methods*
keywords: Cost-effective; Irrigation; Neurosurgery; Suction