Drenaje lumbar externo con bomba volumétrica continua en pacientes con fístula cefalorraquídea. Series de casos

Melgosa, Ana Belén Manso; Gutiérrez, Helena García; Porras, Mónica Fernández; Manero, Ana Berta Castrillo; Marijuán, Belén Pérez

doi:10.1016/j.enfcli.2016.09.005

Cited by 1 publication

(1 citation statement)

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“…e LCFD method applied in this study is compatible with the regeneration pattern of cerebrospinal fluid circulation in the organism. As long as patients can withstand, increased drainage can be more effective in removing the accumulated blood and achieving the control of the risk of complications [21]. Reference [19] also found that the LCFD method can reduce the meningeal response, achieve the control of the occurrence of cerebral vasospasm, or reduce its occurrence.…”

Section: Discussionmentioning

confidence: 99%

A Controlled Study of Continuous Lumbar Drainage of Fluid and Lumbar Puncture Drainage for Aneurysmal SAH after Intracranial Aneurysm Clipping

Duan

Wang

et al. 2021

Journal of Healthcare Engineering

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Objective. To analyze the different effects of Continuous Lumbar Drainage of fluid and lumbar puncture drainage for aneurysmal subarachnoid hemorrhage (SAH) after intracranial aneurysm clipping. Method. Seventy-five patients with aneurysmal SAH who underwent aneurysm clipping were retrospectively analyzed and were divided into two groups according to the different postoperative drainage methods. The lumbar spine group received lumbar puncture drainage, and the lumbar cistern group received lumbar pool continuous drainage to compare the efficacy. Result. The time to normalize intracranial pressure and headache relief after drainage treatment in the lumbar cistern group was shorter than that in the lumbar spine group. The GOS score was higher than that in the lumbar spine group, and the cerebral artery flow velocity and NIHSS score were significantly lower than those in the lumbar spine group ( P < 0.05 ). The total effective rate of drainage treatment was 76.32% in the lumbar cistern group, which was higher than that in the lumbar spine group (54.05%) ( P < 0.05 ). The total complication rate was 18.42% in the lumbar cistern group, which was lower than that in the lumbar spine group (40.54%) ( P < 0.05 ). Conclusion. Continuous Lumbar Drainage of fluid after intracranial aneurysm clipping for aneurysmal SAH can control symptoms more rapidly, reduce neurological deficits, and improve prognosis than lumbar puncture. Also, the drainage is safer and more widely used.

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Section: Discussionmentioning

confidence: 99%