Einsatz externer Ventrikeldrainagen auf der Intensivstation

Als Folge jeder Liquorzirkulationsstörung – eines häufigen Ereignisses in der täglichen neurointensivmedizinischen Praxis – kann ein erhöhter intrakranieller Druck auftreten. Ein unbehandelter Druckanstieg führt nach Aufbrauchen der intrakraniellen Reserveräume zur Verminderung der zerebralen Durchblutung bis zur Einklemmung (Herniation) von Hirnparenchym. Um das Risiko schwerer Hirnschäden zu reduzieren, sind die rasche Diagnosestellung und sofortige Behandlung entscheidend.

Schlüsselwörter

externe Ventrikeldrainage - EVD - Liquor - Hydrocephalus - SAB - Subarachnoidalblutung - ICB - intrazerebrale Blutung

• Literatur

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