成人外置脑室引流和腰椎引流患者的围手术期管理：麻醉学与重症监护神经科学学会指南
Perioperative Management of Adult Patients With External Ventricular and Lumbar Drains: Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care.
作者信息
Lele Abhijit V, Hoefnagel Amie L, Schloemerkemper Nina, Wyler David A, Chaikittisilpa Nophanan, Vavilala Monica S, Naik Bhiken I, Williams James H, Venkat Raghavan Lakshmikumar, Koerner Ines P
机构信息
Departments of *Anesthesiology & Pain Medicine, Neurocritical Care Service ∥Anesthesiology and Pain Medicine ¶Anesthesiology and Pediatrics, Harborview Injury Prevention and Research Center (HIPRC), Harborview Medical Center, University of Washington, Seattle, WA †Department of Anesthesiology, University of Florida, UF Health, Jacksonville, FL ‡Department of Anesthesiology & Pain Medicine, University of California Davis Medical Center, Sacramento, CA §Jefferson Hospital of Neuroscience, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA #Department of Anesthesiology & Neurosurgery, University of Virginia Health System, Charlottesville, VA **Department of Anesthesiology, University of North Carolina at Chapel Hill, N2201 UNC Hospitals, Chapel Hill, NC ††Department of Anesthesia and Pain Medicine, Toronto Western Hospital, Toronto, ON, Canada ‡‡Department of Anesthesiology & Perioperative Medicine, Neurosciences ICU, Oregon Health Sciences University, Portland, OR.
出版信息
J Neurosurg Anesthesiol. 2017 Jul;29(3):191-210. doi: 10.1097/ANA.0000000000000407.
External ventricular drains and lumbar drains are commonly used to divert cerebrospinal fluid and to measure cerebrospinal fluid pressure. Although commonly encountered in the perioperative setting and critical for the care of neurosurgical patients, there are no guidelines regarding their management in the perioperative period. To address this gap in the literature, The Society for Neuroscience in Anesthesiology & Critical Care tasked an expert group to generate evidence-based guidelines. The document generated targets clinicians involved in perioperative care of patients with indwelling external ventricular and lumbar drains.
外置脑室引流管和腰大池引流管常用于引流脑脊液和测量脑脊液压力。尽管在围手术期环境中很常见且对神经外科患者的护理至关重要，但目前尚无关于其围手术期管理的指南。为填补文献中的这一空白，麻醉学与重症监护神经科学学会责成一个专家组制定基于证据的指南。生成的这份文件针对参与留置外置脑室引流管和腰大池引流管患者围手术期护理的临床医生。
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