Discover how the innovative approach of navigated bedside implantation with mobile health guidance is revolutionizing pediatric neurosurgery, offering a glimpse into the future of minimally invasive procedures for our youngest patients.
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Navigated bedside implantation of external ventricular drains with mobile health guidance: technical note and case series.
Sargut et al., Acta Neurochir (Wien) 2024
<!– DOI: 10.1007/s00701-024-05955-w //–>
https://doi.org/10.1007/s00701-024-05955-w
Summary of Novel Navigated Bedside EVD Insertion Technique
What’s New: A new technique for bedside external ventricular drain (EVD) insertion is introduced, utilizing a mobile health-assisted navigation instrument (Thomale Guide) and a battery-powered single-use drill (Phasor Health). This method aims to improve the safety, accuracy, and efficiency of EVD placement in emergency neurosurgical settings.
Importance: Traditional freehand EVD placement often results in malpositioning, leading to complications. This novel technique could potentially reduce such risks and improve patient outcomes.
Contribution to Literature: The study presents clinical case series data from 12 patients (8 female, 4 male) who underwent the navigated bedside EVD procedure. All EVDs were successfully placed at the first attempt around the foramen of Monro. The mean operating time was 25.8 minutes (±15.0 minutes), with no revisions needed for malpositioning or dysfunction. The average drainage volume was 41.3 ml per day (±37.1 ml), and the mean EVD stay was 6.25 days (±2.8 days). Complications were minimal, with one postoperative subdural hematoma and one cerebrospinal fluid infection.
Results: The technique proved to be effective in the studied cases, suggesting that it could be a valuable addition to emergency neurosurgical procedures.