SCCM Resource Library-Making Waves: EVD Monitoring Pearls and Pitfalls

Video Transcription

Video Summary

Invasive neuromonitoring involves the use of parenchymal probes or external ventricular drains to monitor brain pressure and other parameters. External ventricular drains are the gold standard for managing intracranial pressure (ICP) and can also be used for therapeutic and diagnostic purposes. The setup involves adjusting the drain chamber to control the drainage rate. Inadequate compliance can be indicated by changes in the ICP waveform. Cerebral perfusion pressure (CPP) is a key parameter monitored to ensure adequate blood flow to the brain. Complications of invasive neuromonitoring include hemorrhages and ventriculitis. Weaning from the drains should be done gradually. The benefits and outcomes of invasive neuromonitoring remain a topic of discussion and further research is needed.

Asset Subtitle

Neurosceince, Procedures, 2023

Asset Caption

Type: one-hour concurrent | Windows to the Brain: Neuromonitoring for the General Intensivist (SessionID 1202529)

Meta Tag

Content Type Presentation

Knowledge Area Procedures

Knowledge Area Neuroscience

Membership Level Professional

Membership Level Select

Tag Monitoring

Year 2023

Keywords

invasive neuromonitoring

parenchymal probes

external ventricular drains

intracranial pressure

cerebral perfusion pressure

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