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P.126 A nation-wide prospective multi-centre study of external ventricular drainage accuracy, safety, and related complications: Interim analysis

Published online by Cambridge University Press:  27 June 2018

A Dakson
Affiliation:
(Halifax)
M Kameda-Smith
Affiliation:
(Hamilton)
M Staudt
Affiliation:
(London)
A Althagafi
Affiliation:
(Halifax)
S Ahmed
Affiliation:
(Saskatoon)
M Bigder
Affiliation:
(Winnipeg)
M Eagles
Affiliation:
(Calgary)
C Elliott
Affiliation:
(Edmonton)
M Fatehi
Affiliation:
(Vancouver)
H Ghayur
Affiliation:
(Hamilton)
D Guha
Affiliation:
(Toronto)
C Honey
Affiliation:
(Winnipeg)
C Iorio-Morin
Affiliation:
(Sherbrooke,QC)
P Lavergne
Affiliation:
(Quebec City)
S Makarenko
Affiliation:
(Vancouver)
A Persad
Affiliation:
(Saskatoon)
M Taccone
Affiliation:
(Ottawa)
M Tso
Affiliation:
(Calgary)
A Winkler-Schwartz
Affiliation:
(Montreal)
T Sankar
Affiliation:
(Edmonton)
S Christie
Affiliation:
(Halifax)
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Abstract

Background: External ventricular drain (EVD) insertion is a common neurosurgical procedure performed in patients with life-threatening conditions, but can be associated with complications. The objectives of this study are to evaluate data on national practice patterns and complications rates in order to optimize clinical care Methods: The Canadian Neurosurgery Research Collaborative conducted a prospective multi-centre registry of patients undergoing EVD insertions at Canadian residency programs Results: In this interim analysis, 4 sites had recruited 46 patients (mean age: 53.9 years, male:female 2:1). Most EVD insertions occurred outside of the operating theatre, using free-hand technique, and performed by junior neurosurgery residents (R1-R3). The catheter tip was in the ipsilateral frontal horn or body of the lateral ventricle in 76% of cases. Suboptimally placed catheters did not have higher rates of short-term occlusion. EVD-related hemorrhage occurred in 6.5% (3/45) with only 1 symptomatic patient. EVD-related infection occurred in 13% (6/46) at a mean of 6 days and was associated with longer duration of CSF drainage (P=0.039; OR: 1.13) Conclusions: Interim results indicate rates of EVD-related complications may be higher than previously thought. This study will continue to recruit patients to confirm these findings and determine specific risk factors associated with them

Type
POSTER PRESENTATIONS
Copyright
© The Canadian Journal of Neurological Sciences Inc. 2018 

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P.126 A nation-wide prospective multi-centre study of external ventricular drainage accuracy, safety, and related complications: Interim analysis
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