Abstract
to map the available evidence about nursing care aimed at adult patients using external ventricular drain. this is a review using the scoping review method. Initially, 965 studies were identified and, after the eligibility criteria, a sample of 54 publications was obtained. Each of them was assessed according to GRADE, resulting in three studies with high quality; 14 with moderate quality; 32 with low quality; and five with very low quality. It was highlighted 20 nursing care subdivided into nine categories, namely: drainage system; bed positioning and mobilization; catheter care; monitoring of intracranial pressure; and medication administration. the scoping review made it possible to identify the main nursing care directed to adult patients undergoing placement of external ventricular drain from the evidence available to date.
Highlights
IntroductionExternal ventricular drain (EVD) is a health technology and is a diagnostic and therapeutic tool[1]
External ventricular drain (EVD) is a health technology and is a diagnostic and therapeutic tool[1]. It is considered the gold standard when used in the treatment of patients with neurological pathologies, where intracranial hypertension (ICH) occurs in cases such as hydrocephalus, hemorrhage, tumor, meningitis or brain injury resulting from traumatic brain injury (TBI)(2-3)
EVD allows continuous monitoring and assists in reducing intracranial pressure (ICP), allowing drainage of cerebrospinal fluid (CSF) or blood as well as administration of medications or collection of CSF, if necessary[4]. This technology is contraindicated in patients with a coagulation disorder or anticoagulated by drug therapy, or with an infection in the scalp or abscesses in the area, due to the high risk of infection of the central nervous system such as meningitis and ventriculitis[5]
Summary
External ventricular drain (EVD) is a health technology and is a diagnostic and therapeutic tool[1]. EVD allows continuous monitoring and assists in reducing intracranial pressure (ICP), allowing drainage of cerebrospinal fluid (CSF) or blood as well as administration of medications or collection of CSF, if necessary[4]. This technology is contraindicated in patients with a coagulation disorder or anticoagulated by drug therapy, or with an infection in the scalp or abscesses in the area, due to the high risk of infection of the central nervous system such as meningitis and ventriculitis[5]. EVD can cause bleeding or ventricular complications or even accidental catheter removal, requiring neurosurgical intervention[6]
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