Manso Melgosa Ana Belén, García Gutiérrez Helena, Fernández Porras Mónica, Castrillo Manero Ana Berta, Pérez Marijuán Belén
Hospital Universitario de Burgos, Burgos, España.
Hospital Universitario de Burgos, Burgos, España.
Enferm Clin. 2017 Jan-Feb;27(1):40-43. doi: 10.1016/j.enfcli.2016.09.005. Epub 2016 Oct 28.
To describe the incidence and complications arising in a number of cases of patients with cerebrospinal fluid leak treated by external lumbar drainage with infusion pump (IP) volumetric continuous from 2001 to 2014. Quantify cerebrospinal fluid leak closed by lumbar drainage with IP.
Retrospective descriptive case series study.
patients undergoing transsphenoidal pituitary surgery, Chiari surgery and laminectomy, that developed postoperative cerebrospinal fluid leak treated with continuous external lumbar drainage by IP.
age, sex, type of intervention, variables related to the practice of the pump and complications. Average and medians were calculated for quantitative variables, frequencies and percentages for qualitative.
Sample: 11 subjects. Incidence in running IP: disconnection, occlusion and acoustic alarm activation. Most frequently complication is headache; a case of pneumocephalus.
The small number of subjects and the heterogeneity of these do not allow for comparison or establishing associations between variables. The resolution of the cerebrospinal fluid leak with continuous IP is lower in this study than others, and may be influenced by the small number of subjects. It should be noted the frequent activation of the pump alarm for no apparent cause.
Protocol would be developed for preparing the IP team to reduce the acoustic alarm activation, and would make a prospective multicenter study.
描述2001年至2014年期间使用输液泵进行持续定量外部腰椎引流治疗的脑脊液漏患者的发生率及并发症情况。量化通过输液泵腰椎引流治愈的脑脊液漏。
回顾性描述性病例系列研究。
接受经蝶窦垂体手术、Chiari手术和椎板切除术且术后发生脑脊液漏并接受输液泵持续外部腰椎引流治疗的患者。
年龄、性别、干预类型、与输液泵操作相关的变量及并发症。对定量变量计算均值和中位数，对定性变量计算频率和百分比。
样本：11名受试者。输液泵使用过程中的发生率：断开连接、堵塞及声音警报激活。最常见的并发症是头痛；1例发生气颅。
受试者数量少且存在异质性，无法进行变量间的比较或建立关联。本研究中通过持续输液泵治疗脑脊液漏的治愈率低于其他研究，可能受受试者数量少的影响。应注意输液泵警报无明显原因频繁激活的情况。
将制定方案让输液泵团队做好准备以减少声音警报激活，并开展前瞻性多中心研究。
