Mounting device for external cerebrospinal fluid drainage: the Freiburg Stativ

Background External drainage of cerebrospinal fluid (CSF) is one of the most common neurosurgical procedures. It is important to maintain a stable drainage rate, but with the commonly available mountings for CSF drainage this can be difficult to achieve. The drainage rate is dependent on the height-...

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Bibliographic Details
Published in:Acta neurochirurgica 2008-10, Vol.150 (10), p.1081-1085
Main Authors: Freiman, Thomas M., Spiegelberg, Andreas
Format: Article
Language:English
Subjects:
Beds - standards
Catheters, Indwelling - standards
Cerebrospinal Fluid Pressure - physiology
Drainage - instrumentation
Drainage - methods
Durable Medical Equipment - standards
Germany
Humans
Interventional Radiology
Intracranial Hypertension - nursing
Intracranial Hypertension - surgery
Lateral Ventricles - anatomy & histology
Lateral Ventricles - physiology
Lateral Ventricles - surgery
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Postoperative Care - instrumentation
Postoperative Care - methods
Postoperative Care - nursing
Postoperative Complications - prevention & control
Surgical Orthopedics
Technique Evaluation
Ventriculostomy - instrumentation
Ventriculostomy - methods
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Summary:Background External drainage of cerebrospinal fluid (CSF) is one of the most common neurosurgical procedures. It is important to maintain a stable drainage rate, but with the commonly available mountings for CSF drainage this can be difficult to achieve. The drainage rate is dependent on the height-difference between the CSF space and the drip chamber of the device. Most mountings for open CSF drainage cannot be satisfactorily fixed at the bed of the patient; especially if the head of the bed is moved, there is a risk of over- or underdrainage. Materials and methods We have therefore constructed a mounting for open CSF drainage which allows appropriate adjustment of the rate of CSF outflow, even if the patient’s head part of the bed is moved. Findings The device was easily mountable or exchangeable at any hospital bed and served equally well for ventricular or for lumbar drainage. Conclusion We think that this device can help to reduce serious complication of over- or underdrainage in external CSF drainage.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-008-0023-5