Aliases:
Ventriculostomy, permanent

Topic aliases are alternate phrasings for a particular topic.


Be aware of the risk of pneumothorax at the time of tunnelling of the trochar. Watch for relevant signs.

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Patients will likely be presenting with an extraventricular drain (EVD) in situ. If this has been clamped prior to the operation, assess neurological state to rule out acute elevation in ventricular pressure that may require surgical review.

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Duration 45-90mins

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If an EVD is insitu, this will be removed at the end of the case. This involves simply prepping the skin, withdrawing the EVD, and placing a suture.

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Antibiotics as per surgeon

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Patient will need to be relaxed to minimise movement during craniotomy.

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Head will usually be on a horseshoe headrest, not pins.

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Supine position

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Surgeon will prep from the head to the lower abdomen on one side.

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Stimulating moments are during laryngoscopy, craniotomy, and at the time the trochar is tunnelled under the skin to the abdominal wall.

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Considerations as for craniotomy

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