Document Detail

Pullout-proofing external ventricular drains.
MedLine Citation:
PMID:  22861194     Owner:  NLM     Status:  Publisher    
Object The authors describe a method of securing an external ventricular drain (EVD) to prevent dislodgement and discourage CSF leakage and infection. Methods The EVD is secured using a single permanent suture, creating a box stitch around the exit site attached to a modified roman sandal. Multiple knots are tied after each loop to avoid "telescoping," loosening, and pullout. Results In 12 years of high-volume pediatric practice by one of the authors, only one drain has broken, and none have pulled out. Conclusions The modified roman sandal technique tightly secures EVDs against pullout. Anecdotal evidence suggests that the strength of the suture construct securing the drain is greater than that of the drain tubing itself.
Nathaniel L Whitney; Nathan R Selden
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-3
Journal Detail:
Title:  Journal of neurosurgery. Pediatrics     Volume:  -     ISSN:  1933-0715     ISO Abbreviation:  J Neurosurg Pediatr     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101463759     Medline TA:  J Neurosurg Pediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon.
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