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LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS. Hydrocephalus and Insertion of V.P. Shunts.  Intraventricular dilation described by Volpe in USA grades 1-111.  Hydrocephalus develops 1-3 weeks after intraventricular haemorrhage.

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LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

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  1. LECTURE NOTES FROM MR CHUMAS HYDROCEPHALUS AND INSERTION OF V.P. SHUNTS

  2. Hydrocephalus and Insertion of V.P. Shunts  Intraventricular dilation described by Volpe in USA grades 1-111.  Hydrocephalus develops 1-3 weeks after intraventricular haemorrhage.  L/P dry taps – 9% infection rate.  Secondary white matter damage with increasing hydrocephalus.

  3. Hydrocephalus and Insertion of V.P. Shunts < 2 kg - Insertion of access device.  > 2 kg - Medium pressure shunt.  Post Op Shunt – sit in a car seat.  Neo-nates Average Infection 2—25% GOS.  LGI 5% infection rate, Fifompicin 50 days

  4. Hydrocephalus and Insertion of V.P. Shunts  Increase infection with prematurity.  Double glove-prevention.  Mortality rate doubles with shunt infection.  42% surgical instrument infection – not the patient.

  5. Hydrocephalus and Insertion of V.P. Shunts  Extra ventricular drainage system.  Leakage.  Catheter tubes antibiotic impregnated, anti-slime.

  6. Hydrocephalus and Insertion of V.P. Shunts  In one year – 40% V.P. Shunts fail - 10% infection  Shunts – cheapest most practical.

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