Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients
Background: Automated cerebrospinal fluid (CSF) drainage systems allow for the mobilization of patients with an external CSF drain. The aim of this study is to describe the implementation of an automated CSF drainage system in neurosurgical patients with external CSF drains. Methods: A feasibility s...
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| Format: | Article |
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MDPI AG
2021-05-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/11/6/683 |
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| author | Sebastian Arts Martine van Bilsen Erik J. van Lindert Ronald HMA Bartels Rene Aquarius Hieronymus D. Boogaarts |
| author_facet | Sebastian Arts Martine van Bilsen Erik J. van Lindert Ronald HMA Bartels Rene Aquarius Hieronymus D. Boogaarts |
| author_sort | Sebastian Arts |
| collection | DOAJ |
| description | Background: Automated cerebrospinal fluid (CSF) drainage systems allow for the mobilization of patients with an external CSF drain. The aim of this study is to describe the implementation of an automated CSF drainage system in neurosurgical patients with external CSF drains. Methods: A feasibility study was performed using an automated CSF drainage system (LiquoGuard<sup>®</sup>7, Möller Medical GmbH, Fulda, Germany) in adult neurosurgical patients treated with external lumbar or external ventricular drains between December 2017 and June 2020. Limited mobilization was allowed—patients were allowed to adjust their inclined beds, sit in chairs and walk under the supervision of a nurse or physical therapist. The primary outcome was the number of prematurely terminated drainage sessions. Results: Twenty-three patients were included. Drainage was terminated prematurely in eight (35%) patients. In three (13%) of these patients, drainage was terminated due to signs of hydrocephalus. Pressure-controlled drainage in patients with external lumbar drains (ELD) showed inaccurate pressure curves, which was solved by using volume-controlled drainage in ELD patients. Conclusion: The implementation of an automated CSF drainage system (LiquoGuard<sup>®</sup>7) for CSF drainage allows for early mobilization in a subset of patients with external CSF drains. External lumbar drains require volume-based drainage rather than differential pressure-dependent drainage. |
| first_indexed | 2024-03-10T11:08:53Z |
| format | Article |
| id | doaj.art-fa27dc140eae418885f88ebb82c6f7fe |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T11:08:53Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-fa27dc140eae418885f88ebb82c6f7fe2023-11-21T20:57:22ZengMDPI AGBrain Sciences2076-34252021-05-0111668310.3390/brainsci11060683Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical PatientsSebastian Arts0Martine van Bilsen1Erik J. van Lindert2Ronald HMA Bartels3Rene Aquarius4Hieronymus D. Boogaarts5Department of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsDepartment of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsDepartment of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsDepartment of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsDepartment of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsDepartment of Neurosurgery, Radboud University Medical Center, 6525GA Nijmegen, The NetherlandsBackground: Automated cerebrospinal fluid (CSF) drainage systems allow for the mobilization of patients with an external CSF drain. The aim of this study is to describe the implementation of an automated CSF drainage system in neurosurgical patients with external CSF drains. Methods: A feasibility study was performed using an automated CSF drainage system (LiquoGuard<sup>®</sup>7, Möller Medical GmbH, Fulda, Germany) in adult neurosurgical patients treated with external lumbar or external ventricular drains between December 2017 and June 2020. Limited mobilization was allowed—patients were allowed to adjust their inclined beds, sit in chairs and walk under the supervision of a nurse or physical therapist. The primary outcome was the number of prematurely terminated drainage sessions. Results: Twenty-three patients were included. Drainage was terminated prematurely in eight (35%) patients. In three (13%) of these patients, drainage was terminated due to signs of hydrocephalus. Pressure-controlled drainage in patients with external lumbar drains (ELD) showed inaccurate pressure curves, which was solved by using volume-controlled drainage in ELD patients. Conclusion: The implementation of an automated CSF drainage system (LiquoGuard<sup>®</sup>7) for CSF drainage allows for early mobilization in a subset of patients with external CSF drains. External lumbar drains require volume-based drainage rather than differential pressure-dependent drainage.https://www.mdpi.com/2076-3425/11/6/683external cerebrospinal fluid drainLiquoGuard<sup>®</sup>7hydrocephalus |
| spellingShingle | Sebastian Arts Martine van Bilsen Erik J. van Lindert Ronald HMA Bartels Rene Aquarius Hieronymus D. Boogaarts Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients Brain Sciences external cerebrospinal fluid drain LiquoGuard<sup>®</sup>7 hydrocephalus |
| title | Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients |
| title_full | Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients |
| title_fullStr | Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients |
| title_full_unstemmed | Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients |
| title_short | Implementation of an Automated Cerebrospinal Fluid Drainage System for Early Mobilization in Neurosurgical Patients |
| title_sort | implementation of an automated cerebrospinal fluid drainage system for early mobilization in neurosurgical patients |
| topic | external cerebrospinal fluid drain LiquoGuard<sup>®</sup>7 hydrocephalus |
| url | https://www.mdpi.com/2076-3425/11/6/683 |
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