Term
| why would someone have a ventriculoscopy? |
|
Definition
| For enlarged lateral and third ventricles and normal sized fourth ventricles. |
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|
Term
| What are the preoperative diagnostic tests? |
|
Definition
|
|
Term
| What is used to cannulate the ventricle? |
|
Definition
| a #14 french peel-away catheter |
|
|
Term
| What is used to enlarge the fenestration in the floor of the third ventricle? |
|
Definition
| A #3 French Fogarty balloon catheter |
|
|
Term
| Why is the head placed in pin traction? |
|
Definition
| To minimize the loss of CSF and entry of air |
|
|
Term
| What is a contraindication for the procedure? |
|
Definition
| Cannot be performed on patients under months |
|
|
Term
| Why is it contraindicated to do on someone with previous shunt placements? |
|
Definition
| Shunt placement can cause small ventricles |
|
|
Term
| Why is a ventriculostomy performed? |
|
Definition
| to reestablish the free flow of cerebral spinal fluid between the ventricles and subarachnoid space. |
|
|
Term
| What is packed in the burr hole after the procedure? |
|
Definition
|
|
Term
| Prior to patient's dicharge what is performed? |
|
Definition
|
|
Term
| What is performed within 2 months of surgery? |
|
Definition
|
|
Term
| What are complications of this procedure? |
|
Definition
| Bleeding, fever, and short term memory loss |
|
|
Term
| how is the peel away catheter secured to the drapes? |
|
Definition
|
|
Term
| Why is the peel away catheter secured to the drapes? |
|
Definition
| To stabilize the catheter and prevent it from penetrating deeper into the ventricle |
|
|
Term
| What is an alternative to using a peel away catheter? |
|
Definition
| An endoscopic sheath with trocar, sheath held in place with two leyla retractor arms |
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