VENTRICULOSTOMY AND INTRACRANIAL-PRESSURE MONITORING - IN SEARCH OF A 0-PERCENT INFECTION-RATE

被引：44

作者：

BADER, MK

LITTLEJOHNS, L

PALMER, S

机构：

[1] Georgetown University Hospital, Washington, Washington, DC

[2] Mission Hospital Regional Medical Center, Mission Viejo, CA

来源：

HEART & LUNG | 1995年 / 24卷 / 02期

关键词：

D O I：

10.1016/S0147-9563(05)80012-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

External ventriculostomy intracranial pressure (ICP) monitoring provides bedside practitioners with essential information about cranial dynamics as well as a means to maintain the balance within the cranium. Infection has been cited in the literature as the most common complication associated with ICP monitoring. This article reviews the research literature for the risk factors suggested to increase infection, presents data and practice guidelines from one institution where ICP monitors have been maintained infection free for more than 10 years, and summarizes the experiences of another institution where the 6-month infection rate of 55% associated with external ventriculostomy was reduced to 0% in the subsequent 6-month period. The actions taken by the multidisciplinary team to reduce the risk of infection are detailed. Recommendations for minimizing the risk of infection are made by the authors and are based on research studies and experience.

引用

页码：166 / 172

页数：7

共 30 条

[11]

Wyler, Kelly, Use of antibiotics with external ventriculostomies, J Neurosurg, 37, pp. 185-187, (1972)

[12]

Lundberg, Continuous recording and control of ventricular fluid pressure in neurosurgical practice, Acta Psychiatr Scand, 36, pp. 7-63, (1960)

[13]

Adson, Lillie, The relationship of intracerebral pressure, choked discs and intraocular pressure, Trans Am Acad Ophthalmol, 30, pp. 138-154, (1927)

[14]

Anton, Pressure curves from cerebrospinal fluid, Acta Med Scand, 170, pp. 439-462, (1946)

[15]

Guillauma, Janny, Manometric intracranienne continue, Rev Neurol (Paris), 84, pp. 131-142, (1951)

[16]

Grant, The value of hypertonic solutions by mouth, by rectum, or by intravenous injection for the reduction of increased intracranial pressure, Res Publ Assoc Res Nerv Ment Dis, 8, pp. 437-454, (1929)

[17]

Poppen, VENTRICULAR DRAINAGE AS A VALUABLE PROCEDURE IN NEUROSURGERY, Archives of Neurology & Psychiatry, 50, pp. 587-589, (1943)

[18]

Bering, A simplified apparatus for constant ventricular drainage, J Neurosurg, 8, pp. 450-452, (1951)

[19]

Smith, Aksne, Infections complicating the use of external ventriculostomy, J Neurosurg, 44, pp. 567-570, (1976)

[20]

Rosner, Becker, ICP monitoring: Complications and associated factors, Clin Neurosurg, 23, pp. 494-519, (1976)

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