Term
| Where is the cerebral spinal fluid produced? |
|
Definition
| Within the 4 ventricles of the brain. |
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Term
|
Definition
| An obstruction of the CSF flow through the ventricles resulting in excess CSF in the brain causing pressure. |
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|
Term
| How is hydrocephalus diagnosed? |
|
Definition
History and physical
CT scan
Ventriculography
Ventriculoscopy
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Term
| What is the population (age group) that would most likely get this procedure done? |
|
Definition
| Pediatric patients (infants and young children) |
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|
Term
| What kind of equipment will be necessary? |
|
Definition
Midas Rex or Anspach system for burr holes
Tunneling device
Shunt system
Scales to measure EBL with sponges
Manometer |
|
|
Term
| Why would extra heating blankets be necessary? |
|
Definition
| Becasue pediatric patients can quickly become hypothermic. |
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|
Term
|
Definition
| Extend from cranial incision to incision on abdomen. |
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|
Term
Where is the first incison made?
|
|
Definition
| Linear incison made in the occipital or parietal bone (this is where the burr holes will be) |
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|
Term
| How may the shunt be prepped? |
|
Definition
| Soaked in a saline and antibiotic mixture. |
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|
Term
| Where is the ventricular catheter stylet placed after the dura is nicked and coagulated? |
|
Definition
| Posterior lateral ventricle |
|
|
Term
| Where is the proximal portion of the catheter placed? |
|
Definition
| It is connnected to a reservoir. |
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|
Term
| Where is the distal end of the shunt placed? |
|
Definition
| It is threaded under the skin and soft tissues to the abdominal incision. |
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|
Term
| How do we get from the burr holes in the skull to the peritoneum in the abdomen? |
|
Definition
|
|
Term
| How is the catheter secured? |
|
Definition
| Once in the peritoneal cavity it is secured with a purse-string suture. |
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|
Term
| Once patency of the shunt system is verified what is the next step? |
|
Definition
| Irrigate and close incisions. |
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|
Term
|
Definition
Infection
Can outgrow shunt requiring revision surgery |
|
|
Term
|
Definition
| Class II: clean-contaminated |
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