Bilateral External Ventricular Drainage (EVD) for Evacuation of Bilateral Intraventricular Hemorrhage (IVH) with Hydrocephalus: An Evidence-Based Case Report
Farhad Bal’afif, Donny Wisnu Wardhana, Tommy Nazwar Alfandy¹, Hatim Sultan², Mohammed Alsubbi², Baihaqi³, Wahyu Putra⁴, Mustofa¹
Affiliation : ¹ Neurosurgery Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar Hospital, Malang, Indonesia, ² Medical Center Department, Sebha University, Libya³ Radiology Department, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar Hospital, Malang, Indonesia, ⁴ General Surgery Resident, Faculty of Medicine, Universitas Brawijaya-Saiful Anwar Hospital, Malang, Indonesia
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.
Received 13 June 2022 | Revised 12 July 2022 | Accepted 26 July 2022
DOI: 10.35755/jmedassocthai.2022.10.13675
Keywords : Bilateral IVH; Ventriculomegaly; EVD Running Head: EVD for Evacuation of IVH with Hydrocephalus; CT scan
