Differences

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--- letter_to_the_editor [2025/07/05 06:44] – [Letter to the Editor: “A viewpoint on external ventricular drainage in intraventricular hemorrhage”] administrador
+++ letter_to_the_editor [2025/07/05 06:44] (current) – administrador
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 Sign the letter.
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-====== Letter to the Editor: “A viewpoint on external ventricular drainage in intraventricular hemorrhage” ======
-In a [[Letter to the Editor]] (opinion piece)
-Leite et al.
-in the *[[Journal of Neurosurgery]]*
-comment on current practices and considerations regarding [[external ventricular drainage in intraventricular hemorrhage]].
-The authors present their viewpoint on optimal EVD timing, placement technique, cerebrospinal fluid management strategies, and potential complications
-((Leite PIF, Rabello PHM, Figueiredo EG. Letter to the Editor. A viewpoint on external ventricular drainage in intraventricular hemorrhage. J Neurosurg. 2025 Jul 4:1-2. doi: 10.3171/2025.3.JNS25426. Epub ahead of print. PMID: 40614284.)).
-===== Critical Review =====
-* **Strengths:**
-  * Raises important technical and clinical considerations not addressed in existing guidelines.
-  * Encourages neurosurgeons to think critically about EVD protocols within IVH management.
-* **Weaknesses:**
-  * No original data or case series—purely anecdotal/opinion-based.
-  * Lacks explicit descriptions of technique or outcomes that could inform practice.
-  * Limited generalizability due to absence of evidence backing suggestions.
-* **Verdict:**
-  * Opinion letters can spark discussion, but without empirical data, this piece remains speculative.
-  * Useful as a catalyst for more rigorous study, but should not alter clinical practice alone.
-===== Score and Takeaway =====
-* **Rating:** 4 / 10
-  * Points awarded for raising procedural nuances; significant deductions for absence of data.
-* **Key takeaway for practicing neurosurgeons:**
-  * While the authors emphasize several technical considerations, it remains essential to rely on high‑quality evidence and institutional protocols when using EVD in IVH. This letter may prompt re‑evaluation of local practices, but should not replace data‑driven protocols.
-===== Bottom Line =====
-An anecdotal commentary on EVD use in IVH—thought‑provoking but unsubstantiated. Use as a discussion starter, not as a guideline.
-**Citation:** Leite PI, Rabello PH, Figueiredo EG. Letter to the Editor: A viewpoint on external ventricular drainage in intraventricular hemorrhage. *J Neurosurg.* 2025 Jul 4:1–2. doi:10.3171/2025.3.JNS25426.
-**Categories:** neurosurgery_letters, ivh_management, csf_diversion
-**Tags:** intraventricular hemorrhage, external ventricular drainage, EVD technique, opinion piece, commentary