Evidence map›Paper›PMID 31506779›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

Bedside placement of ventricular access devices under local anaesthesia in neonates with posthaemorrhagic hydrocephalus: preliminary experience.

Erik J van Lindert, K Djien Liem, Martin Geerlings, Hans Delye

Registry-linked trialOpen access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06903598 (Anesthesia and Analgesia Methods in Pediatric External Ventricular Drainage Placement), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06903598 completednot on this mapstarted 2021, after this paper: background citation

Anesthesia and Analgesia Methods in Pediatric External Ventricular Drainage Placement

TypeobservationalSponsorHande GurbuzRan2021 to 2022Enrolled63ConditionsHydrocephalus in Children, Regional Block, Pediatric Anesthesia
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Article
  3. Effect of surgical treatment on prognosis in preterm infants with obstructive hydrocephalus.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Erik J van LindertDepartment of Neurosurgery, Radboud University Medical Center, Geert Groteplein-Zuid 10, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. erik.vanlindert@radboudumc.nl.ORCID 0000-0001-8609-2521
K Djien LiemDepartment of Paediatrics-Neonatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Martin GeerlingsDepartment of Neurosurgery, Radboud University Medical Center, Geert Groteplein-Zuid 10, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Hans DelyeDepartment of Neurosurgery, Radboud University Medical Center, Geert Groteplein-Zuid 10, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePosthaemorrhagic ventricular dilatation in preterm infants is primarily treated using temporising measures, of which the placement of a ventricular access device (VAD) is one option. Permanent shunt dependency rates are high, though vary widely. In order to improve the treatment burden and lower shunt dependency rates, we implemented several changes over the years. One of these changes involves the setting of the surgery from general anaesthesia in the OR to local anaesthesia in bed at the neonatal intensive care unit (NICU), which may seem counterintuitive to many. In this article, we describe our surgical technique and present the results of this regimen and compare it to our previous techniques.

methodsRetrospective study of a consecutive series of 37 neonates with posthaemorrhagic ventricular dilatation (PHVD) treated using a VAD, with a cohort I (n = 13) treated from 2004 to 2008 under general anaesthesia in the OR, cohort II (n = 11) treated from 2009 to 2013 under general anaesthesia in the NICU and cohort III (n = 13) treated from December 2013 to December 2017 under local anaesthesia on the NICU.

resultsThe overall infection rate was 14%; the VAD revision rate was 22% and did not differ significantly between the cohorts. Procedures under local anaesthesia never required conversion to general anaesthesia and were well tolerated. After an average of 33 tapping days, 38% of the neonates received a permanent ventriculoperitoneal (VP) shunt. The permanent VP shunt rate was 9% with VAD placement under local anaesthesia and 52% when performed under general anaesthesia (p = 0.02).

conclusionBedside placement of VADs for PHVD under local anaesthesia in neonates is a low-risk, well-tolerated procedure that results in at least equal results to surgery performed under general anaesthesia and/or performed in an OR.

Indexed as

Anesthesia, LocalCerebral Intraventricular HemorrhageCerebrospinal Fluid ShuntsFemaleHumansHydrocephalusInfant, NewbornInfant, PrematureInfant, Premature, DiseasesIntensive Care Units, NeonatalMaleRetrospective StudiesHydrocephalusLocal anaesthesiaNeonatal reservoirPosthaemorrhagic ventricular dilatationPrematurityVentricular access device

Identifiers

PMID31506779
OpenAlexW2972599406

What OpenQuestion holds

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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.