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LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

Learn about intraventricular dilation, secondary white matter damage, post-op care, infection rates, and prevention strategies in hydrocephalus management. Understand the key considerations for shunt insertion by weight categories and the importance of early detection and intervention. Discover the impact of shunt infections on patient outcomes and the significance of proper surgical instrument sterilization. Be informed about the use of antibiotics in catheter tubes and the common challenges in shunt failure rates.

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LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

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  1. LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

  2. Hydrocephalus and Insertion of V.P. Shunts  Intraventricular dilation described by Volpe in USA grades 1-111.  Hydrocephalus develops 1-3 weeks after intraventricular haemorrhage.  L/P dry taps – 9% infection rate.  Secondary white matter damage with increasing hydrocephalus.

  3. Hydrocephalus and Insertion of V.P. Shunts < 2 kg - Insertion of access device.  > 2 kg - Medium pressure shunt.  Post Op Shunt – sit in a car seat.  Neo-nates Average Infection 2—25% GOS.  LGI 5% infection rate, Fifompicin 50 days

  4. Hydrocephalus and Insertion of V.P. Shunts  Increase infection with prematurity.  Double glove-prevention.  Mortality rate doubles with shunt infection.  42% surgical instrument infection – not the patient.

  5. Hydrocephalus and Insertion of V.P. Shunts  Extra ventricular drainage system.  Leakage.  Catheter tubes antibiotic impregnated, anti-slime.

  6. Hydrocephalus and Insertion of V.P. Shunts  In one year – 40% V.P. Shunts fail - 10% infection  Shunts – cheapest most practical.

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