Abstract：
PURPOSE OF REVIEW:The optimal management of external ventricular drains (EVD) in the setting of acute brain injury remains controversial. Therefore, we sought to determine whether there are optimal management approaches based on the current evidence. RECENT FINDINGS:We identified 2 recent retrospective studies on the management of EVDs after subarachnoid hemorrhage (SAH) which showed conflicting results. A multicenter survey revealed discordance between existing evidence from randomized trials and actual practice. A prospective study in a post-traumatic brain injury (TBI) population demonstrated the benefit of EVDs but did not determine the optimal management of the EVD itself. The recent CLEAR trials have suggested that specific positioning of the EVD in the setting of intracerebral hemorrhage with intraventricular hemorrhage may be a promising approach to improve blood clearance. Evidence on the optimal management of EVDs remains limited. Additional multicenter prospective studies are critically needed to guide approaches to the management of the EVD.
journal_name
Curr Neurol Neurosci Repjournal_title
Current neurology and neuroscience reportsauthors
Chung DY,Olson DM,John S,Mohamed W,Kumar MA,Thompson BB,Rordorf GAdoi
10.1007/s11910-019-1009-9subject
Has Abstractpub_date
2019-11-26 00:00:00pages
94issue
12eissn
1528-4042issn
1534-6293pii
10.1007/s11910-019-1009-9journal_volume
19pub_type
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journal_title：Current neurology and neuroscience reports
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journal_title：Current neurology and neuroscience reports
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journal_title：Current neurology and neuroscience reports
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journal_title：Current neurology and neuroscience reports
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journal_title：Current neurology and neuroscience reports
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更新日期：2018-10-15 00:00:00
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journal_title：Current neurology and neuroscience reports
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journal_title：Current neurology and neuroscience reports
pub_type： 杂志文章,评审
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journal_title：Current neurology and neuroscience reports
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