Term
| Patients who need a ventriculoscopy have enlarged what and normal what ? |
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Definition
- enlarged lateral ventricles(aka 1st and 2nd ventricles) and enlarged 3rd ventricle
- normal sized 4th ventricle |
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Term
| What is the best way to diagnose the need for a Ventriculoscopy? |
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Definition
MRI
(Magnetic Resonance Imaging) |
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Term
What solution is used in the irrigation pump during a ventriculoscopy?
a - 0.9% saline solution
b - Ringers Solution
c - sterile water
d - CSF |
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Definition
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Term
| Why do we put a patient in supine position with head in pin traction for a ventriculoscopy? |
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Definition
| to minimize loss of CSF and entry of air |
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Term
| How do we access the ventricles during a ventriculoscopy? |
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Definition
| a 6-10 mm burr hole is created for the #14 french catheter is used to cannulate the lateral ventricle so the scope can enter to view the inside. |
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Term
| Skin prep and draping for the ventriculoscopy are the same as for what other procedure? |
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Definition
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Term
| Should patients younger than 6 months have a ventriculoscopy? |
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Definition
| NO - Currently there are studies being done to prove or disprove the effectiveness of this procedure being done on patients less than 6 months old. |
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Term
| What are 4 contraindications for a ventriculoscopy? |
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Definition
1- younger than 6 months
2- can cause hydrocephalus
3- has already had a shunt placement; this can cause small ventricles
4- meningitis |
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Term
| What artery is identified when the scope is passed through into the 3rd ventricle? |
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Definition
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Term
| What other procedure can be done in conjunction with a ventriculoscopy? |
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Definition
| a ventriculostomy - to reestablish free flow of CSF between the ventricles and the subarachnoid space |
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Term
| Why is a wire inserted through the working channel of the scope? |
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Definition
| to create initial opening in the floor of the 3rd ventricle so that the balloon catheter can be inserted. |
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Term
| Why is the #3 fogerty balloon catheter inserted? |
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Definition
| to widen the newly created opening / stoma to 5 mm |
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Term
| What is used to close the burr hole? |
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Definition
| gelfoam is packed into the burr hole and suture is used to close the scalp |
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Term
| Without complications, how long is a patient's hospital stay for a ventriculoscopy? |
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Definition
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Term
| What is done prior to discharge on the 2nd day? |
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Definition
| CT scan is done before discharging on the 2nd day |
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Term
| What is done 2 months after the surgery? |
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Definition
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Term
| What is the wound classification for a ventriculoscopy procedure? |
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Definition
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