Scribd
Upload
51 views

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

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.

Uploaded by

Queen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
51 views

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

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.

Uploaded by

Queen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 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

You might also like