Objective: To compare between single and dual external ventricular drainage (EVD) on patients with intraventricular hemorrhage (IVH) using Glasgow Coma Scale (GCS).

Materials and Methods: Literature searches were performed on PubMed, Cochrane, CINAHL, and ScienceDirect according to the clinical questions. The selection of titles and abstracts was based on the inclusion and exclusion criteria with multiple filters. The journals were thoroughly read. In the present study, a randomized control trial (RCT) was critically appraised for quality based on validity, importance, and applicability.

Results: The present study analyzed five journals. Dual EVDs accelerate IVH drainage with the same duration as single EVD. However, dual EVDs have a higher infection risk. It is recommended to install dual EVD starting from the ipsilateral side.

Conclusion: The use of dual EVD improves GCS, accelerates IVH drainage, and prevents hydrocephalus in IVH patients.

Keywords: Bilateral IVH; Ventriculomegaly; EVD Running Head: EVD for Evacuation of IVH with Hydrocephalus; CT scan

DOI: 10.35755/jmedassocthai.2022.10.13675

Received 13 June 2022 | Revised 12 July 2022 | Accepted 26 July 2022