Neurosurgery ICU EVD Management
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- čas přidán 11. 03. 2020
- At Mountainside Medical Center, our multidisciplinary neurosurgery team with sub-specialties in spine and brain (open and endovascular) are experienced and skilled in the full scope surgery including minimally invasive, simple, complex and revision procedures. When caring for a neurosurgical patient with an EVD, nurses should follow the described monitoring and troubleshooting techniques for optimal patient care. It is important to troubleshoot the EVD for basic malfunctions, however understand when to contact neurosurgery for unresolved mechanical malfunctions, acute exam change, or sustained elevated ICPs.
As a critical care nurse I highly recommend this video. I've shared it to many of my fellow RN. Thank you.
I had one nearly 20 years ago when I was hit by a car and put into a medically induced coma. My entire brain hemoraged and so much more. Thank you so so much for sharing this with us. :)
Great video! Thank you! Is anyone else baffled by the blinking mannequin ?!
This VDO clip was most useful for my Nursing students learned about ICP and EVD simulation base practice, thank you so much, and cannot wait for a new VDO
I had an evd drain for somewhere upwards of two and a half months due to post op staph infection on vp shunt. This video explains more about the procedure and process than most others I've seen.
Thank you Doctor!
Thank you for the video!
Thank you!
Thank you for this video! Really helpful with my class case study. Question, what are meds (categories) that will be ordered for post-op care?
Wonderful explanation
Thank you very informativ 😊
thanks for the video
before zeroing the transducer to atmosphere, the burette needs to be lowered to the zero level as well
Often taught, but not necessary. “Zeroing” is calibrating the monitor to atmospheric pressure. There will be insignificant difference between the 0cmh20 and the 20cmh20 markings. You’d have to open the transducer five stories higher to make a difference in the reading.
@@Everybodypoops2 in addition the stopcock closest to the transducer mechanism should be turned off to the patient,. Then it should be open to the air. In the video it is turned off to the transducer when it is open to the air, this would not work. Once the closest stopcock is closed to the patient and the rest of the system, it does not matter what you do with the burette.
@@richardbernardi7249Exactly!!! You are absolutely right. I care for these on a daily basis and tried many different things with them.
The policy at my hospital states to lower the buretrol when zeroing. The educators also teach this; however, I do not understand the rationale here, or what we are accomplishing, since during zeroing the stopcock is off to drain and to the patient and only open to atmosphere and monitor. If the stopcock is off to the drainage chamber, the position of that chamber is meaningless. I've zeroed with the chamber low and high; the number is the same.
The only thing i can think of is, stopcock closed to the patient, and open to drain / atmosphere / monitor, then the chamber would be lowered and when it's raised above zero that would be the ICP number, but the stopcock does not allow this scenario.... that's not how it works.
He showed in the video zeroing with the stopcock closed to transducer....it does not work that way; you cannot zero with the transducer closed.
My mother had undergo this operation last month, and now shes okay but the way she communicate to us now is not normal😢
shouldnt the burette be lowered to 0 and the stopcock be turned off toward the patient than the drain?
I think you are correct. That’s how I learned it. You zero it by dropping it to zero then you zero it and adjust it to where the physicians wants it
My hospital doesn't do this and it's magnet/comp. stroke center hospital so maybe it's not necessary. Just do whatever your hospital policy is.
My daughter just had a EVD in ICU and was monitored in ICU. While in ICU, pt has a CT Scan revealing a blood clot in bifurcated vein near neck. Pt had been experiencing severe neck severe pain at base of skull, top of head, forehead and temples too. Now, residents say blood clot might be something else but still investigating. Transferred to Neuro Recovery Floor with RN care. What nursing care does PT now need?
when zeroing the evd the drain should be off to patient to zero then turned off to drain to measure
a lot for Salman that the doctor says that we are going to insert the ID device in his brain because he has water pressure in his brain he is coming very high