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Rate of malposition of external ventricular drains - an audit

Rate of malposition of external ventricular drains - an audit. Mr G Narenthiran Mr Barrie D White Department of Neurosurgery Queen’s Medical Centre University Hospital Nottingham, UK. Reason for the study. Complication related to external ventricular drains is often quoted as around 3 %

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Rate of malposition of external ventricular drains - an audit

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  1. Rate of malposition of external ventricular drains- an audit Mr G Narenthiran Mr Barrie D White Department of Neurosurgery Queen’s Medical Centre University Hospital Nottingham, UK

  2. Reason for the study • Complication related to external ventricular drains is often quoted as around 3 % • How are we doing?

  3. Data Collection • Theatre log book (14 Feb 2003 – 13 Feb 2004) • All EVDs • Repeat EVDs • Reason for repeat EVDs

  4. Results • Database

  5. Summary of the results • No of patients underwent EVDs = 84 • More than 1 EVD = 13 patients (15.4 %) • Malposition was noted in 8 patients (9.5 %)

  6. Discussion • Practice need to be improved • Basic neurosurgery procedures undertaken should be audited as well • It is important to quote ‘in-house’ rates of complication than those from literature

  7. How? • Protocol – setting up standard protocol • Use of ultrasound guidance in difficult ventriculostomies Repeat audit after changes had been implemented

  8. Thank you

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