ReviewNeurocritical care2018
External Ventricular Drains After Subarachnoid Hemorrhage: Is Less More?
Review in Neurocritical care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Pooled it
- Cerebrospinal Fluid Drainage Trajectories Are Associated With Ventriculoperitoneal Shunt Placement After Aneurysmal Subarachnoid Hemorrhage.Neurosurgery practice · 2026Article
- Quantitative pupillometry as a sensitive tool for detecting hydrocephalus-related physiologic burden after aSAH: a prospective feasibility study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Functional recovery patterns from discharge to 12 months after endovascular treatment for aneurysmal subarachnoid hemorrhage: a multicenter cohort study.Frontiers in neuroscience · 2026Article
- Applications of survival analysis and learning curves methods in neurosurgical stroke data and simulations to account for provider heterogeneity.BMC medical research methodology · 2025Article
- Assessing survival and learning curves for EVD procedures in hemorrhagic stroke patients in a New York City hospital.Interdisciplinary neurosurgery : Advanced techniques and case management · 2025Article
- Predictive factors for ventriculoperitoneal shunt placement in aneurysmatic subarachnoid hemorrhages.Brain & spine · 2025Article
- Management of external ventricular drain: to wean or not to wean?Acta neurochirurgica · 2024Article
- Neuroanatomical refinement of Kocher's point for enhanced precision in ventriculostomy: A technical note and a literature review.Surgical neurology international · 2024Article
- Predictive Values for Time from Transducer Stopcock Closure to Accurate Intracranial Pressure Reading.Neurocritical care · 2023Article
- Association of ABO Blood Group with Delayed Cerebral Ischemia and Clinical Outcomes Following Aneurysmal Subarachnoid Hemorrhage in Pakistan.Asian journal of neurosurgery · 2023Article
- External Ventricular Drainage: A Practical Guide for Neuro-Anesthesiologists.Clinics and practice · 2023Review
- Cerebrospinal fluid drainage and chronic hydrocephalus in aneurysmal subarachnoid hemorrhage patients with intraventricular hemorrhage.Frontiers in neurology · 2023Article
- Predicting Shunt Dependency from the Effect of Cerebrospinal Fluid Drainage on Ventricular Size.Neurocritical care · 2022Observational
- Prediction of Intracranial Infection in Patients under External Ventricular Drainage and Neurological Intensive Care: A Multicenter Retrospective Cohort Study.Journal of clinical medicine · 2022Article
- External ventricular drain use is associated with functional outcome in aneurysmal subarachnoid hemorrhage.Neurological research and practice · 2022Article
- Risk Factors for Cerebral Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage: A Tertiary Care Center Experience.Asian journal of neurosurgery · 2022Article
- Association of External Ventricular Drain Wean Strategy with Shunt Placement and Length of Stay in Subarachnoid Hemorrhage: A Prospective Multicenter Study.Neurocritical care · 2022Observational
- Pre-operative external ventricle drainage improves neurological outcomes for patients with traumatic intracerebellar hematomas.Frontiers in neurology · 2022Article
- Pathophysiology of Delayed Cerebral Ischemia After Subarachnoid Hemorrhage: A Review.Journal of the American Heart Association · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
External ventricular drains (EVD) are essential in the early management of hydrocephalus and elevated intracranial pressure after subarachnoid hemorrhage (SAH). Once in place, management of the EVD is thought to influence long-term patient outcomes, rates of ventriculitis, incidence of delayed cerebral ischemia, need for a ventriculoperitoneal shunt, and intensive care unit (ICU) and hospital length of stay. The available evidence supports adopting early clamp trials and intermittent cerebrospinal fluid (CSF) drainage. However, a recent survey demonstrated that most neurological ICUs employ the opposite approach of continuously open EVDs and gradual weaning. In this article, we review the literature and arguments for and against the different EVD approaches. We conclude that an early clamp trial and intermittent CSF drainage can be safe and result in fewer EVD complications and shorter length of stay. Given the discrepancy between the available evidence and current practice, more studies on the optimal management of EVDs are warranted with the greatest need for multicenter prospective studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.