Clinical application of external ventricular drainage in acute severe primary brain injury

Abstract

Objective To investigate the clinical effect of performing external ventricular drainage using the rapid pore drilling method in acute severe primary brain injury patients.Method A retrospective study of the clinical data of 42 acute severe primary brain injury patients that underwent the rapid pore drilling method.Results There were 29 cases (69％) where ADL level achieved improvement (level Ⅰ ～ Ⅲ),6 (14％) cases of severe disability (levelⅣ ～ Ⅴ),and 7 (17％) cases of death.The mortality of patients with a GCS score of 3 ～5 was 25％.Conclusions The process of Dandy's drilling skull must be operated in the operating room.It may take around 60 minutes to finish the entire procedure.However,the rapid pore drilling method only takes about 3-5 minutes.It is an effective method that could decrease the ICP rapidly in acute severe primary brain injury patients.It could also reduce the disability rate and death rate.Therefore,the rapid pore drilling method could be an effective therapeutic method in acute severe primary brain injury. Key words: Craniocerebral injury; Intracranial pressure; Rapid pore drilling skull; External ventricular drainage