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 ORIGINAL ARTICLE
Year : 2020  |  Volume : 68  |  Issue : 2  |  Page : 458--461

External Ventricular Drain Related Complications-Whether Continuous CSF Drainage Via Ommaya Reservoir is the Answer?


1 Department of Neurosurgery, W Pratiksha hospital, Golf Course Extension Road, Sector 56, Sushant Lok 2, Gurugram, Haryana, India
2 Department of Neurosurgery, Fortis Memorial Research Institute, Sector 44, Gurugram, Haryana, India
3 Amity College of Nursing, Amity University, Panchgaon, Manesar, Haryana, India

Correspondence Address:
Harnarayan Singh
Department of Neurosurgery, W Pratiksha Hospital, Golf Course Extension Road, Sector 56, Sushant Lok 2, Gurugram - 122 011, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.284354

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Abstract: Background and Aims: External ventricular drainage (EVD) is one of the commonest procedures in neurosurgical practice to manage acute hydrocephalus. We evaluated the infectious and non-infectious complications associated with a modified technique for EVD using an Ommaya reservoir. Methods: Ommaya reservoir was placed in all patients who required EVD placement for CSF drainage. CSF drainage was achieved using a needle placed in a non-coring fashion percutaneously into the Ommaya reservoir to achieve CSF drainage externally. CSF was monitored for signs of infection regularly using CSF biochemistry and cultures. CSF infection was defined by a positive culture or a secondary infection in patients with already infected CSF. Results: 59 patients required continuous CSF drainage during the study period from January 2014 to June 2017. 46 (77.96%) patients had non-infected CSF at time of starting drainage and 13 (22.03%) patients required external CSF drainage for primarily infected CSF. The study period had a total of 793 CSF drainage days (Range 3-64 days) with an average of 13.4 days per patient. The cumulative rate of new infection was 5.08%. No ventricular catheter blockage or dislodgement was seen in any of the patients. Conclusions: External ventricular drainage through an Ommaya chamber is a safe and effective method and can be used to reduce the catheter related complications like infection, catheter blockage and dislodgement.






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