Tag: India

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External ventricular drain treatment in India is offered with medical care that ranks high in quality and low in price. India has one of the best qualified medical professionals in each and every field and this fact has now been realized the world over. India offers World Class Medical Facilities, comparable with any of the western countries. India has state of the art Hospitals and the best qualified doctors which perform the External ventricular drain treatment in India. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices, you can get External ventricular drain treatment in India and other medical treatments and surgeries in India at the lowest charges. Significant cost differences exist between U.K, U.S. and India when it comes to medical treatment. External ventricular drain treatment in India is not only economical but the waiting time is almost nil. This is due to the outburst of the private sector which comprises of hospitals and clinics with the latest technology and best practitioners.

What is External ventricular drain treatment?

An External ventricular drain treatment (EVD) is a device used in neurosurgery that relieves raised intracranial pressure and hydrocephalus when the normal flow of cerebrospinal fluid around the brain is obstructed. These are 10 French tubes placed by neurosurgeons and managed by ICU nurses to drain fluid from the ventricles of the brain, and thus keep them decompressed, as well as to monitor intracranial pressure.

The tube is most frequently placed in Kocher’s point with the goal of having the catheter tip in the frontal horn of a lateral ventricle. The catheter is normally inserted on the right side of the brain. An External ventricular drain treatment (also called an intraventricular catheter, or IVC) is used to monitor pressure in patients with brain injuries, intracranial bleeds or other brain abnormalities that lead to increased fluid build-up. In draining the ventricle it can also remove blood from the ventricular spaces. This is important because blood is an irritant to brain tissue and can cause complications such as vasospasm.

If the External ventricular drain treatment becomes occluded, clogged, or obstructed, as it often does with fibrinous or clot like material, the brain can swell due to pressure builds up in the ventricles and permanent brain damage can occur. Thus nurses and neurosurgeons often have to adjust or flush these small diameter catheters to manage medical tube obstructions and occlusions in the ICU setting. Pressure settings are generally measured in cmH2O. The equilibrium pressure of the EVD apparatus is adjusted based on cerebrospinal fluid output, ICP waveform, imaging including CT or MRI of the brain, and clinical response.

How does an External ventricular drain treatment work?
The fluid flows from the brain, through the External ventricular drain treatment, and into a bag. The bag hangs on the head of the patients bed or on an IV (intravenous) pole. The doctor and nurse check how much fluid drains into the bag. The External ventricular drain treatment has a device that helps measure pressure in the brain as fluid drains. It lets the doctor and nurse know if the extra pressure is decreasing. The External ventricular drain treatment is used for a period of time and then is removed.

When is an External ventricular drain treatment needed?
Too much pressure in the brain may cause symptoms. When a patient has symptoms, an External ventricular drain treatment may be needed. Symptoms may include:
Headache
Nausea and vomiting
becoming less alert or less awake

What precautions are needed?
The patient must do exactly what the doctor or nurse says about changing position. This is very important. A patient who has an External ventricular drain treatment:
Must never get out of bed without calling the nurse, even to go to the
bathroom
Must call the nurse for help to change the bed position. This includes moving the head of the bed up or down.

Can there be problems?
Sometimes other problems can result from a procedure. These problems are called complications. With an External ventricular drain treatment, some possible problems are:
Bleeding inside the brain or where the tube enters the head
Infection of the brain fluid or of the brain itself

The doctor and nurse watch closely for signs of infection. The patients temperature is checked often. Brain fluid samples are tested in the lab frequently.

What causes extra brain fluid?
An increase of brain fluid may occur with the following conditions:
A bulge in a blood vessel (aneurysm) that breaks open
A tumor
A stroke
A serious head injury

External ventricular drain is considered as a safe procedure that provides good intracranial pressure control and monitoring method when meticulous care in taken for External ventricular drain treatment procedures and its maintenance. However, ventriculitis may occur in considerable number of patients and when it occurs it may be associated with substantial morbidity and mortality even in modern era of medical practice. Every attempt to reduce its occurrence and prevention is mandatory and when suspected, prompt evaluation and treatment should be initiated and carefully monitored.

For further information on External ventricular drain treatment in India visit us at http://www.dheerajbojwani.com or mail your queries at or you can call at +91-9371136499, +91-9860755000, + 1-415-599-2537 (USA) / +44-20-8133-2571 (UK).