Perioperative Management of Adult Patients With External Ventricular and Lumbar Drains: Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care.
External ventricular drains and lumbar drains are commonly used to divert cerebrospinal fluid and to measure cerebrospinal fluid pressure. Although commonly encountered in the perioperative setting and critical for the care of neurosurgical patients, there are no guidelines regarding their management in the perioperative period. To address this gap in the literature, The Society for Neuroscience in Anesthesiology & Critical Care tasked an expert group to generate evidence-based guidelines. The document generated targets clinicians involved in perioperative care of patients with indwelling external ventricular and lumbar drains.
Departments of *Anesthesiology & Pain Medicine, Neurocritical Care Service ∥Anesthesiology and Pain Medicine ¶Anesthesiology and Pediatrics, Harborview Injury Prevention and Research Center (HIPRC), Harborview Medical Center, University of Washington, Seattle, WA †Department of Anesthesiology, University of Florida, UF Health, Jacksonville, FL ‡Department of Anesthesiology & Pain Medicine, University of California Davis Medical Center, Sacramento, CA §Jefferson Hospital of Neuroscience, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA #Department of Anesthesiology & Neurosurgery, University of Virginia Health System, Charlottesville, VA **Department of Anesthesiology, University of North Carolina at Chapel Hill, N2201 UNC Hospitals, Chapel Hill, NC ††Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, ON, Canada ‡‡Department of Anesthesiology & Perioperative Medicine, Neurosciences ICU, Oregon Health Sciences University, Portland, OR.
Abhijit V
AV
Lele
Amie L
AL
Hoefnagel
Nina
N
Schloemerkemper
David A
DA
Wyler
Nophanan
N
Chaikittisilpa
Monica S
MS
Vavilala
Bhiken I
BI
Naik
James H
JH
Williams
Lakshmikumar
L
Venkat Raghavan
Ines P
IP
Koerner
D000328:Adult; D002552:Cerebral Ventricles; D057189:Checklist; D002983:Clinical Competence; D003422:Critical Care; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D007430:Intraoperative Care; D008161:Lumbosacral Region; D019990:Perioperative Care / Q000592:standards*; D019106:Postoperative Hemorrhage / Q000453:epidemiology / Q000517:prevention & control; D014187:Transportation of Patients