Evidence map›Paper›PMID 36826162›Full record

ReviewClinics and practice2023

External Ventricular Drainage: A Practical Guide for Neuro-Anesthesiologists.

Alessandro Bertuccio, Stefano Marasco, Yaroslava Longhitano, Tatsiana Romenskaya, Angela Elia, Gianluca Mezzini, Matteo Vitali, Christian Zanza, Andrea Barbanera

Open access · goldAbstract readReview
In one paragraph

Review in Clinics and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.2field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
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  15. Cerebrospinal Drain Infection byJournal of fungi (Basel, Switzerland) · 2024
    Review
  16. Article
  17. Article
  18. Article
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  20. Review
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

9 authors at 4 institutions in 2 countries.

Alessandro BertuccioDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.
Stefano MarascoDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.ORCID 0000-0002-5132-4123
Yaroslava LonghitanoDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.ORCID 0000-0001-8831-1361
Tatsiana RomenskayaDepartment of Physiology and Pharmacology, Sapienza University of Rome, P.le A. Moro 5, 00185 Rome, Italy.
Angela EliaDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.
Gianluca MezziniDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.
Matteo VitaliDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.ORCID 0000-0002-0480-2911
Christian ZanzaDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
Andrea BarbaneraDepartment of Neurosurgery, AON SS. Antonio e Biagio e Cesare Arrigo University Hospital, 15121 Alessandria, Italy.
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITUniversity of Pavia · ITUniversity of Pittsburgh · USSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

External ventricular drainage is often considered a life-saving treatment in acute hydrocephalus. Given the large number of discussion points, the ideal management of EVD has not been completely clarified. The objective of this study was to review the most relevant scientific evidence about the management of EVD in its main clinical scenarios. We reviewed the most recent and relevant articles about indications, timing, management, and complications of EVD in neurocritical care, with particular interest in patients with subarachnoid hemorrhage (SAH), severe traumatic brain injury (TBI), and intraventricular hemorrhage (IVH) using the following keywords alone or matching with one another: intracranial pressure, subarachnoid hemorrhage, traumatic brain injury, intraventricular hemorrhage, external ventricular drainage, cerebrospinal shunt, intracranial pressure monitoring, and ventriculoperitoneal shunt. In the management of EVD in SAH, the intermittent drainage strategy is burdened with an elevated risk of complications (e.g., clogged catheter, hemorrhage, and need for replacement). There seems to be more ventriculoperitoneal shunt dependency in rapid weaning approach-managed patients than in those treated with the gradual weaning approach. Although there is no evidence in favor of either strategy, it is conventionally accepted to adopt a continuous drainage approach in TBI patients. Less scientific evidence is available in the literature regarding the management of EVD in patients with severe TBI and intraparenchymal/intraventricular hemorrhage. EVD placement is a necessary treatment in several clinical scenarios. However, further randomized clinical trials are needed to clarify precisely how EVD should be managed in different clinical scenarios.

Indexed as

cerebrospinal shuntexternal lumbar drainageexternal ventricular drainageintracranial pressureintracranial pressure monitoringintraventricular hemorrhagesubarachnoid hemorrhagetraumatic brain injury

Identifiers

PMID36826162
PMCPMC9955739
OpenAlexW4318818043

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.