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3-Dimensional Simulation Videography for Instructional Placement of Bedside External Ventricular Drains
Video Article
3-Dimensional Simulation Videography for Instructional Placement of Bedside External Ventricular Drains William Clifton1, Conrad Dove2, Aaron Damon2, William D. Freeman1, Benjamin Brown1
Key words EVD - Procedural skills - Resident education - Simulation - Video -
From the 1Department of Neurological Surgery and 2College of Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA To whom correspondence should be addressed: William Clifton, M.D. [E-mail: [email protected]] Supplementary digital content available online. Citation: World Neurosurg. (2019) 131:242. https://doi.org/10.1016/j.wneu.2019.07.049 Journal homepage: www.journals.elsevier.com/worldneurosurgery Available online: www.sciencedirect.com 1878-8750/$ - see front matter ª 2019 Elsevier Inc. All rights reserved.
REFERENCES 1. Fried HI, Nathan BR, Rowe AS, et al. The insertion and management of external ventricular drains: an evidence-based consensus statement : a statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2016;24:61-81. 2. Lee KS, Yeo TT, Chou N, et al. Freehand insertion of external ventricular drainage catheter-evaluation of accuracy in a single centre. Neurosurgery. 2019;84: E271.
242
www.SCIENCEDIRECT.com
We present a narrated video simulation (Video 1) using 3-dimensional anatomic software demonstrating the proper landmarks and relevant neuroanatomy for successful bedside external ventricular drain placement. External ventricular drains are commonly inserted at the bedside for emergent intracranial pressure monitoring and/or treatment of elevated intracranial pressure by cerebrospinal fluid drainage.1 Often, neurosurgical trainees perform this procedure early in their residency years.2,3 The relationship of the ventricle to the external skull landmarks may be a difficult concept to grasp for junior trainees who have had limited procedural experience. Multiple catheter passes in attempt to cannulate the ventricle are associated with increased procedural risk to the patient.2,4 Two common catheter misplacement locations leading to multiple catheter passes are lateral to the ventricle and anterior to the ventricle. In this video we highlight the relationship of the borders of the lateral ventricle to the insertion point at the skull during catheter placement. By using this resource for resident education, patient safety factors and resident procedural competence may be enhanced.
3. Baum GR, Hooten KG, Lockney DT, et al. External ventricular drain practice variations: results from a nationwide survey. J Neurosurg. 2017;127:1190-1197.
Received 3 June 2019; accepted 4 July 2019
4. Muralidharan R. External ventricular drains: management and complications. Surg Neurol Int. 2015; 6(suppl 6):S271-S274.
Journal homepage: www.journals.elsevier.com/worldneurosurgery
Conflict of interest statement: All authors have no conflicts of interest to disclose.
Citation: World Neurosurg. (2019) 131:242. https://doi.org/10.1016/j.wneu.2019.07.049
Available online: www.sciencedirect.com 1878-8750/$ - see front matter ª 2019 Elsevier Inc. All rights reserved.
WORLD NEUROSURGERY, https://doi.org/10.1016/j.wneu.2019.07.049
3-Dimensional Simulation Videography for Instructional Placement of Bedside External Ventricular Drains William Clifton1, Conrad Dove2, Aaron Damon2, William D. Freeman1, Benjamin Brown1
Key words EVD - Procedural skills - Resident education - Simulation - Video -
From the 1Department of Neurological Surgery and 2College of Medicine, Mayo Clinic Florida, Jacksonville, Florida, USA To whom correspondence should be addressed: William Clifton, M.D. [E-mail: [email protected]] Supplementary digital content available online. Citation: World Neurosurg. (2019) 131:242. https://doi.org/10.1016/j.wneu.2019.07.049 Journal homepage: www.journals.elsevier.com/worldneurosurgery Available online: www.sciencedirect.com 1878-8750/$ - see front matter ª 2019 Elsevier Inc. All rights reserved.
REFERENCES 1. Fried HI, Nathan BR, Rowe AS, et al. The insertion and management of external ventricular drains: an evidence-based consensus statement : a statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2016;24:61-81. 2. Lee KS, Yeo TT, Chou N, et al. Freehand insertion of external ventricular drainage catheter-evaluation of accuracy in a single centre. Neurosurgery. 2019;84: E271.
242
www.SCIENCEDIRECT.com
We present a narrated video simulation (Video 1) using 3-dimensional anatomic software demonstrating the proper landmarks and relevant neuroanatomy for successful bedside external ventricular drain placement. External ventricular drains are commonly inserted at the bedside for emergent intracranial pressure monitoring and/or treatment of elevated intracranial pressure by cerebrospinal fluid drainage.1 Often, neurosurgical trainees perform this procedure early in their residency years.2,3 The relationship of the ventricle to the external skull landmarks may be a difficult concept to grasp for junior trainees who have had limited procedural experience. Multiple catheter passes in attempt to cannulate the ventricle are associated with increased procedural risk to the patient.2,4 Two common catheter misplacement locations leading to multiple catheter passes are lateral to the ventricle and anterior to the ventricle. In this video we highlight the relationship of the borders of the lateral ventricle to the insertion point at the skull during catheter placement. By using this resource for resident education, patient safety factors and resident procedural competence may be enhanced.
3. Baum GR, Hooten KG, Lockney DT, et al. External ventricular drain practice variations: results from a nationwide survey. J Neurosurg. 2017;127:1190-1197.
Received 3 June 2019; accepted 4 July 2019
4. Muralidharan R. External ventricular drains: management and complications. Surg Neurol Int. 2015; 6(suppl 6):S271-S274.
Journal homepage: www.journals.elsevier.com/worldneurosurgery
Conflict of interest statement: All authors have no conflicts of interest to disclose.
Citation: World Neurosurg. (2019) 131:242. https://doi.org/10.1016/j.wneu.2019.07.049
Available online: www.sciencedirect.com 1878-8750/$ - see front matter ª 2019 Elsevier Inc. All rights reserved.
WORLD NEUROSURGERY, https://doi.org/10.1016/j.wneu.2019.07.049