Table of Contents

๐Ÿง  External Ventricular Drainage in Intraventricular Hemorrhage: Clinical Guideline

Standardized guideline for neurosurgeons and neurocritical care teams regarding the use of EVD in IVH.

โœ… 1. Indications

โŒ 2. Contraindications

๐Ÿ“‹ 3. Pre-Procedure Checklist

๐Ÿ› ๏ธ 4. Technique Summary

  1. Supine positioning, head elevated 20โ€“30ยฐ
  2. Local anesthesia ยฑ light sedation
  3. Burr hole at Kocher's point
  4. Advance catheter ~5โ€“6 cm toward foramen of Monro
  5. Confirm bloody CSF return
  6. Secure and tunnel catheter
  7. Connect to external drainage & ICP monitor
  8. Level at +10โ€“15 cmHโ‚‚O above tragus

๐Ÿ“ˆ 5. Post-Placement Management

โš ๏ธ 6. Complications

Complication Prevention/Management
Infection (ventriculitis) Aseptic technique, minimal manipulation
Catheter obstruction Gentle saline irrigation if indicated
Overdrainage Proper leveling; avoid excessive CSF removal
Tract hemorrhage Avoid in uncorrected coagulopathy

โณ 7. Weaning Protocol

External Ventricular Drainage Weaning Protocol.

๐Ÿ“š 8. References


See also:

External Ventricular Drainage Technique

External Ventricular Drainage Technique