EVD Insertion| External Ventricular Drain| Kocher’s Point| NEUROSURGERY| Dr Anil Kothiwala
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EVD Insertion| External Ventricular Drain| Kocher’s Point| NEUROSURGERY| Dr Anil Kothiwala |
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This Video Uploaded At 11-04-2023 08:30:06 |
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Insertion of an External Ventricular Drain (EVD) is one of the most common and important lifesaving procedures in neurologic intensive care unit. It is most rapid method to control raised ICP or brain swelling. Various forms of acute brain injury benefit from the continuous intracranial pressure (ICP) monitoring and cerebrospinal fluid (CSF) diversion provided by an EVD. After insertion, EVD monitoring, maintenance and troubleshooting are equally important.
Typically placed at the bedside by a neurosurgeon or neurointensivist using surface landmarks under emergent conditions. most commonly it's placed at Kocher's point which is 1 cm anterior to coronal suture and 3 cm lateral to midline. catheter should be perpendicular to skull surface for entry in ventricle. This procedure has the ability to drain blood and CSF to mitigate intracranial hypertension, continuously monitor intracranial pressure, and instill medications. After insertion, ensure proper zeroing, placement, sterility, and integrity of the EVD collecting system.
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