External Ventricular Drain (EVD) Troubleshooting for Neurosurgery Residents
Low Hanging Fruit
• Has the system become disconnected accidentally?
• Are all EVD stopcocks open?
• Is the EVD correctly leveled (tragus)?
• Is the setting correct? Andwith the correct (mmHg vs. cmH2O)?
• Are there any obvious kinks in the tubing?
• Is the EVD at the same location at the scalp?
"Two Tests" for Patency:
• The Drop Test
• The Raise Test
Distal Flushing
By Kristen Scheitler, MD @k_scheitler
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