Ventriculoperitoneal shunt drainage - Revision history

Rossdonaldson1 at 05:19, 8 May 2021

2021-05-08T05:19:53Z

← Older revision		Revision as of 05:19, 8 May 2021
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	==Indications==		==Indications==
			[[File:Diagram showing a brain shunt CRUK 052.png\|thumb\|A diagram of a typical brain shunt with component parts.]]
	*Should only be performed by emergency physician in an emergency		*Should only be performed by emergency physician in an emergency
	*Alleviates [[increased ICP]] and helps make definitive diagnosis		*Alleviates [[increased ICP]] and helps make definitive diagnosis

2021-05-08T05:14:47Z

Procedure

← Older revision		Revision as of 05:14, 8 May 2021
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	==Procedure==		==Procedure==
			[[File:Ventriculoperitoneal shunt - surgical wound healing - head - day 15 - stitches removed - 2018.jpg\|thumb\|Port site on head.]]
	*Prep		*Prep
	**Have patient seated upright		**Have patient seated upright

2019-10-10T15:58:41Z

References

2016-07-14T22:35:59Z

Text replacement - "incr " to "increased "

← Older revision		Revision as of 22:35, 14 July 2016
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	**Measure while reservoir outflow is occluded		**Measure while reservoir outflow is occluded
	**Opening pressure >20 indicates distal obstruction; low pressure indicates proximal		**Opening pressure >20 indicates distal obstruction; low pressure indicates proximal
	*Fluid removal (for ~~incr~~ ICP)		*Fluid removal (for increased ICP)
	**Remove slowly to avoid choroid plexus bleeding		**Remove slowly to avoid choroid plexus bleeding
	**Remove until pressure is 10-20		**Remove until pressure is 10-20

2016-07-13T18:31:47Z

Text replacement - "Lidocaine " to "Lidocaine "

← Older revision		Revision as of 18:31, 13 July 2016
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	*LP kit		*LP kit
	*25 gauge butterfly needle or 23 gauge needle		*25 gauge butterfly needle or 23 gauge needle
	*Topical Lidocaine (if time)		*Topical [[Lidocaine]] (if time)

	==Procedure==		==Procedure==

2016-07-01T21:50:15Z

Text replacement - " pt " to " patient "

← Older revision		Revision as of 21:50, 1 July 2016
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	==Procedure==		==Procedure==
	*Prep		*Prep
	**Have pt seated upright		**Have patient seated upright
	**Prepare tap site in sterile manner using iodine (hair does not need to be shaved)		**Prepare tap site in sterile manner using iodine (hair does not need to be shaved)
	*23ga needle or butterfly attached to a manometer is inserted into the reservoir		*23ga needle or butterfly attached to a manometer is inserted into the reservoir

2016-03-04T23:32:40Z

← Older revision		Revision as of 23:32, 4 March 2016
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	*Should only be performed by emergency physician in an emergency		*Should only be performed by emergency physician in an emergency
	*Alleviates [[increased ICP]] and helps make definitive diagnosis		*Alleviates [[increased ICP]] and helps make definitive diagnosis
			*Can also attempt medical management (mannitol and hyperventilation).

	==Contraindications==		==Contraindications==

2015-12-01T15:17:54Z

Indications

← Older revision		Revision as of 15:17, 1 December 2015
Line 1:		Line 1:
	==Indications==		==Indications==
	*Should only be performed by emergency physician in an emergency		*Should only be performed by emergency physician in an emergency
	*Alleviates ~~incr~~ ICP and helps make definitive diagnosis		*Alleviates [[increased ICP]] and helps make definitive diagnosis

	==Contraindications==		==Contraindications==

2015-12-01T00:43:50Z

Procedure

← Older revision		Revision as of 00:43, 1 December 2015
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	==Procedure==		==Procedure==
	*Have pt seated upright		*Prep
	*Prepare tap site in sterile manner using iodine (hair does not need to be shaved)		**Have pt seated upright
			**Prepare tap site in sterile manner using iodine (hair does not need to be shaved)
	*23ga needle or butterfly attached to a manometer is inserted into the reservoir		*23ga needle or butterfly attached to a manometer is inserted into the reservoir
	**If no fluid returns or flow ceases, a proximal obstruction is likely		**If no fluid returns or flow ceases, a proximal obstruction is likely

2015-12-01T00:43:00Z

Equipment Needed

← Older revision		Revision as of 00:43, 1 December 2015
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	==Equipment Needed==		==Equipment Needed==
	*LP kit		*LP kit
	*25 gauge butterfly needle		*25 gauge butterfly needle or 23 gauge needle
	*Topical Lidocaine (if time)		*Topical Lidocaine (if time)