Intracranial pressure monitors. Epidemiologic study of risk factors and infections

Aucoin, Paula; Kotilainen, Helen Rosen; Gantz, Nelson M.; Davidson, R.; Kellogg, Peter; Stone, B.

doi:10.1016/0002-9343(86)90708-4

Cited by 191 publications

(65 citation statements)

References 10 publications

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“…Aucoin et al reported a 6% increase in relative risk of infection for patients whose EVD was flushed www.intechopen.com with bacitracin solution (Aucoin, et al, 1986). A previously published report by the present authors also demonstrated intraventricular urokinase infusion as one of the risk factors for infection (Leung, et al, 2007).…”

Section: Manipulation Of the Evd Systemsupporting

confidence: 63%

External Ventricular Drain Infections

Tsang¹,

Leung²

2012

Hydrocephalus

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Section: Manipulation Of the Evd Systemsupporting

confidence: 63%

External Ventricular Drain Infections

Tsang¹,

Leung²

2012

Hydrocephalus

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“…La tasa de infección post instalación de DVP en la población infantil se estima en 10% y fl uctúa entre 0 y 22% [8][9][10][11] , siendo una causa importante de morbimortalidad 12 . Las infecciones tempranas son causadas por la microbiota bacteriana introducida al momento de la cirugía, mientras que las tardías corresponden a contaminaciones posteriores 13 .…”

Section: Recibido: 21 De Marzo De 2011unclassified

Factores de riesgo de infección de derivativa ventrículo peritoneal en pacientes pediátricos del Hospital Carlos Van Buren

et al. 2012

Rev. chil. infectol.

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Hydrocephalus is a common problem in Neurosurgery and Neurology. The usual treatment is the installation of a Ventricular Peritoneal Shunt (VPS). Infection is the most frequent and serious complication. With the aim to identify risk factors associated with infection in the post surgery of VPS in pediatric patients from Carlos Van Buren Hospital a case control study between 1998-2008 was done. Cases were patients with VPS infection reported to the Department of Nosocomial Infections. Results in contingency tables were analyzed to determine Odds Ratio. 264 surgical procedures were studied in 207 patients with 53 infections reported in 26 patients. Signifi cant risk factors were: history of prior ventriculitis, VPS dysfunction and prior external ventricular shunt, concurrent infections at the time of surgery and a neurosurgeon without the specialty of pediatric neurosurgery. We concluded that antibiotic prophylaxis was not an important factor in preventing infection and the neurosurgeon experience is relevant to the development of VPS infections.Key words: VPS, infection, risk factors, ventriculitis, shunt infections. Palabras clave: DVP, infección, factores de riesgo, ventriculitis, infección DVP.Universidad de Valparaíso, Valparaíso, Chile. Facultad de Medicina (APA, RSZ, RVF).Hospital Carlos Van Buren, Valparaíso, Chile. Servicio de Neurocirugía. (RRP, CSZ). Departamento de Control de infecciones (RHO).Los autores declaran no tener conflictos de interés. Fuente de financiamiento:Autónoma. Recibido: 21 de marzo de 2011Aceptado: 13 de octubre de 2011Correspondencia a:Introducción L a hidrocefalia es un problema común en neurología y neurocirugía pediátrica, cuya etiología es un desbalance entre la producción, circulación y reabsorción del líquido cefalorraquídeo (LCR)1 . El desarrollo de esta condición en la infancia es frecuente, siendo secundaria a un grupo variado de patologías cerebrales, entre las cuales destacan: cerebrales congénitas, traumáticas, tumorales, infecciosas y vasculares 2 . Una de las opciones para el tratamiento permanente de esta patología es la inserción de un catéter junto a una válvula que conecte el ventrículo cerebral con una cavidad serosa como el peritoneo 3 o derivativa ventrículo peritoneal (DVP) o con una vena profunda, donde el exceso de LCR pueda ser drenado.Se estima que entre 25 y 46% de las derivaciones tienen un mal funcionamiento durante el primer año después de haber sido instaladas 4,5 , siendo la obstrucción mecánica y las infecciones, las dos principales causas de disfunción valvular 6,7 . La tasa de infección post instalación de DVP en la población infantil se estima en 10% y fl uctúa entre 0 y 22% [8][9][10][11] , siendo una causa importante de morbimortalidad 12 . Las infecciones tempranas son causadas por la microbiota bacteriana introducida al momento de la cirugía, mientras que las tardías corresponden a contaminaciones posteriores 13 . Se han identifi cado diversos factores del paciente y de la atención asociados a una infección de DVP 14 . Entre los factores relac...

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“…Rapid recognition of ICP or cerebral perfusion pressure (CPP) fluctuation is necessary for the treatment of patients with intracranial hypertension [10]. The methods which are used most frequently for monitoring cerebral perfusion and ICP are intraventricular, intraparenchymal compartment or similar [8], but they are invasive and can cause complications [2].…”

mentioning

confidence: 99%

Evaluation of Intracranial Pressure by Transcranial Doppler Ultrasonography in Dogs with Intracranial Hypertension.

Fukushima

Miyashita

Okano

et al. 2000

The Journal of Veterinary Medical Science

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. Transcranial Doppler ultrasonography (TCD) has been used to confirm changes in cerebral hemodynamics. In this study, we investigated whether the parameters for the basilar artery measured by TCD were correlated with the intracranial and cerebral perfusion pressures in extreme intracranial hypertension. An intracranial hypertension model was produced in seven dogs by inflating a balloon inserted into the epidural space. The resistance index was compared with the corresponding intracranial pressure and cerebral perfusion pressure values during intracranial hypertension. A significant correlation was recognized between the resistance index and cerebral perfusion pressure. Therefore, measurement of the basilar artery by TCD in the dog with intracranial hypertension is useful in estimating the intracranial circulation in cases where the measurement of intracranial pressure is not available or not indicated.-KEY WORDS: canine, intracranial hypertension, transcranial Doppler ultrasonography.

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Intracranial pressure monitors. Epidemiologic study of risk factors and infections

Cited by 191 publications

References 10 publications

External Ventricular Drain Infections

External Ventricular Drain Infections

Factores de riesgo de infección de derivativa ventrículo peritoneal en pacientes pediátricos del Hospital Carlos Van Buren

Evaluation of Intracranial Pressure by Transcranial Doppler Ultrasonography in Dogs with Intracranial Hypertension.

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