The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury
by
Charlene Y. C. Chau 1, 
Claudia L. Craven 2, Andres M. Rubiano 3,4
, Hadie Adams 1, Selma Tülü 1,5, Marek Czosnyka 1, Franco Servadei 6, Ari Ercole 7, Peter J. Hutchinson 1,4 and Angelos G. Kolias 1,4,*
Claudia L. Craven 2, Andres M. Rubiano 3,4, Hadie Adams 1, Selma Tülü 1,5, Marek Czosnyka 1, Franco Servadei 6, Ari Ercole 7, Peter J. Hutchinson 1,4 and Angelos G. Kolias 1,4,*
1
Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke’s Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK
2
Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N3BG, UK
3
Neurosciences Institute, INUB-MEDITECH Research Group, El Bosque University, 113033 Bogotá, Colombia
4
NIHR Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge CB20QQ, UK
5
Department of Neurosurgery, Innsbruck Medical University, 6020 Innsbruck, Austria
6
Department of Neurosurgery, Humanitas University and Research Hospital, 20090 Milan, Italy
7
Division of Anaesthesia, Addenbrooke’s Hospital and University of Cambridge, Cambridge Biomedical Campus, Cambridge CB20QQ, UK
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(9), 1422; https://doi.org/10.3390/jcm8091422
Received: 28 July 2019 / Revised: 5 September 2019 / Accepted: 5 September 2019 / Published: 10 September 2019
(This article belongs to the Section Clinical Neurology)
External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a therapeutic ICP-lowering procedure in contemporary practice, remains unclear. No consensus has been reached regarding the drainage strategy and optimal timing of insertion. We review the literature on EVDs in the setting of TBI, discussing its clinical indications, surgical technique, complications, clinical outcomes, and economic considerations.
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Keywords:
neurosurgery; ventriculostomy; neurotrauma; intracranial pressure; EVD; TBI; ICP
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MDPI and ACS Style
Chau, C.Y.C.; Craven, C.L.; Rubiano, A.M.; Adams, H.; Tülü, S.; Czosnyka, M.; Servadei, F.; Ercole, A.; Hutchinson, P.J.; Kolias, A.G. The Evolution of the Role of External Ventricular Drainage in Traumatic Brain Injury. J. Clin. Med. 2019, 8, 1422.
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