Education, Science, Technology, Innovation and Life
Open Access
Sign In
  1. Home
  2. Journals
  3. MEDS Clinical Medicine
  4. Vol 5, Issue 1, 2024

Application of lumbar drainage based on flow control in patients with intracranial infection after craniocerebral surgery

Download as PDF

DOI: 10.23977/medsc.2024.050115 | Downloads: 6 | Views: 149

Author(s)

Wenming Lv 1, Yasong Liu 1

Affiliation(s)

1 Department of Neurosurgery, First People's Hospital of Ningyang County, Tai'an, Shandong, 271400, China

Corresponding Author

Wenming Lv

ABSTRACT

To explore the application effect of lumbar cistern based on flow control in patients with intracranial infection, 40 patients with postoperative intracranial infection and lumbar cistern surgery in our hospital from January 2021 to December 2023 were selected as the study subjects. The random number table method was used to divide the participants into an observation group and a control group. The control group received routine drainage, while the observation group received flow control. Both groups were intervened until the end of drainage, then the drainage situation, incidence of complications, and cerebrospinal fluid characteristics were compared. There was no statistically significant difference in drainage speed, drainage time, and total drainage volume between the two groups. The observation group showed lower white blood cell count, intracranial pressure, protein and glucose quantification, and overall incidence of complications compared to before drainage, and was superior to the control group. The lumbar cistern based on flow control is more stable in patients with intracranial infection after craniotomy, and has positive significance in improving cerebrospinal fluid indicators, reducing complications, and patient prognosis.

KEYWORDS

Flow control, Intracranial infection, Cerebrospinal fluid, Lumbar drainage

CITE THIS PAPER

Wenming Lv, Yasong Liu, Application of lumbar drainage based on flow control in patients with intracranial infection after craniocerebral surgery. MEDS Clinical Medicine (2024) Vol. 5: 100-104. DOI: http://dx.doi.org/10.23977/medsc.2024.050115.

REFERENCES

[1] Zhang Y, Wu Y, Wu YL, et al.The effect of postoperative early lumbar drainage on delayed fever after cerebellopontine angle tumour surgery: study protocol for a randomized controlled trial[J]. Trials. 2022,12;23(1):1008. 
[2] Truckenmueller P, Früh A, Wolf S, et al.Reduction in wound healing complications and infection rate by lumbar CSF drainage after decompressive hemicraniectomy[J]. J Neurosurg. 2022, 12, 23:1-9. 
[3] Chen QH, Lin D, Yu QG, et al. Efficacy of lumbar cistern drainage combined with intrathecal antibiotherapy for the treatment of ventriculo-subarachnoid infections following surgery for hypertensive intracerebral hemorrhage[J]. Neurochirurgie. 2017, 63(1):13-16. 
[4] Huang X, Zhang X, Zhou J, et al. Analysis of risk factors and preventive strategies for intracranial infection after neuroendoscopic transnasal pituitary adenoma resection[J].BMC Neurosci. 2022, 23(1):1-4. 
[5] Li H, Wang W. Evaluation of the Effectiveness of Lumbar Punctures in Aneurysmal Subarachnoid Hemorrhage Patient with External Ventricular Drainage[J]. World Neurosurg. 2021, 1(151):1-9.
[6] Wang J, Liu H, Zheng K, et al.Clinical effect of intrathecal injection of medicine combined with continuous lumbar cistern drainage on intracranial infection after intracranial tumor surgery[J]. Pak J Pharm Sci. 2021, 34(1):65-67. 
[7] Lei Z, Zhang J. Experience of drug combined with lumbar cistern drainage in treating postoperative intracranial infection in patients with craniotomy aneurysm clipping[J]. Minerva Med. 2023, 114(3):429-432. 
[8] Zhang Q, Chen H, Zhu C, et al. Efficacy and safety of intrathecal meropenem and vancomycin in the treatment of postoperative intracranial infection in patients with severe traumatic brain injury[J]. Exp Ther Med. 2019, 17(6): 4605-4609. 
[9] Xiong Y, Liu Y, Xin G, et al. Exploration of the causes of cerebrospinal fluid leakage after endoscopic endonasal surgery for sellar and suprasellar lesions and analysis of risk factors[J].Front Surg. 2022,13;9:981669.
[10] Wang P, Gao B, Wang M, et al. Challenges in the nursing care of intracranial carbapenem-resistant Escherichia coli infection after severe traumatic brain injury: a case report[J]. Ann Palliat Med. 2020, 9(4):2381-2385.
[11] Li X, Sun S, Wang Q, et al. Population Pharmacokinetics of Combined Intravenous and Local Intrathecal Administration of Meropenem in Aneurysm Patients with Suspected Intracranial Infections After Craniotomy[J]. Eur J Drug Metab Pharmacokinet.2018,43(1):45-53.
[12] Nasi D, Dobran M, Iacoangeli M, et al. Paradoxical Brain Herniation After Decompressive Craniectomy Provoked by Drainage of Subdural Hygroma [J]. World Neurosurg. 2016, 91:673, 1-4. 
[13] Lee MC, Yamini B, Frim DM. Pseudotumor cerebri patients with shunts from the cisterna magna: clinical course and telemetric intracranial pressure data[J]. Neurosurgery. 2004, 55(5):1094-1099.
[14] Franzini A, Messina G, Nazzi V, et al. Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients[J]. J Neurosurg. 2010, 112(2): 300-306. 

Subscription
E-Mail Alert
Most popular papers
Call for Special Issue
Publication Ethics & OA Statement
Plagiarism Policy
Contact Us
Downloads: 4543
Visits: 196572

Sponsors, Associates, and Links

All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.