What is a Becker drain?

The Becker® External Drainage and Monitoring System is used to drain and monitor CSF flow from the patient’s lateral ventricles or the lumbar subarachnoid space to reduce intracranial pressure.

How does an EVD drain work?

An external ventricular drainage (EVD) system drains CSF by using a combination of gravity and intercerebral pressure. The drainage rate depends on the height at which the EVD system is placed relative to the patient’s anatomy.

How much should an EVD drain per hour?

Average drainage for an adult is 10-15ml/hr. Excessive drainage can collapse the ventricles, pulling brain from dura. This may lead to a subdural haematoma. Be vigilant with fluid balance and electrolytes, particularly if there are large losses or prolonged need for EVD.

Where should a lumbar drain be leveled?

The catheter is placed below the level of the termination of the cord (L2-L3 or below) and within the CSF. The catheter is taped securely to the skin to prevent dislodgement, and connected to a manometer, which should be set at 10cm/H20, measured from the lumbar drain insertion site.

Where should I level my lumbar drain?

The physician determines the appropriate level of drain placement in the lumbar subarachnoid space (L2-L3, L3-L4, or L4-L5). Before placement, a local anesthetic is injected into the marked area and a spinal needle is inserted into the subarachnoid space.

What happens if too much CSF is drained?

It is possible that the puncture of the ventricle or the opening of the dura will result in an intracranial hemorrhage. It is possible that if too much CSF is removed from the ventricles, either during a drainage procedure or when the ventricle is first punctured, the ventricle may collapse and occlude the catheter.

What are two biggest risks of lumbar drains?

Major complications included spinal hematoma with paraplegia in 1 patient, intracranial hemorrhage in 2, meningitis in 2, arachnoiditis in 3, CSF leak requiring a blood patch in 3, bloody tap delaying the operation in 1, and a retained catheter tip in 1 patient.

What foods increase CSF production?

five portions of fruits and vegetables per day. carbohydrates from foods such as brown rice, potatoes, cereals and whole wheat pasta. protein from foods such as oily fish, eggs and meat.

Why would someone have a lumbar drain?

A lumbar drain is often needed to collect CSF from the spine after surgery or to reduce pressure in the spinal cord or brain. Too much pressure in the spinal cord can slow blood flow to the area and can lead to confusion and trouble thinking, pain, weakness, and even paralysis.

Is an EVD permanent?

An external ventricular drain (EVD) is a temporary method that uses gravity to drain cerebrospinal fluid (CSF) out of compartments in the brain, called ventricles, via a thin tube that goes out of the head into a chamber and bag.

Is Medtronic pain pump MRI compatible?

Studies have demonstrated improved volume delivery accuracy as compared to the Medtronic Synchromed II.12 The pump is MRI compatible after complete removal of the medication from the reservoir. There currently is no PCA dosing strategy available with the Prometra pump, although it appears to be on the horizon.

What is a lumbar drain placement?

Lumbar drain placement is a procedure to place a small tube in your lower back and into your spinal column to drain or collect cerebral spinal fluid (CSF).

What is lumbar drainage?

A lumbar drain is a small, flexible, soft plastic tube placed in the lower back (lumbar area) to remove (cerebral) spinal fluid (CSF). The tube is attached to a drainage bag. CSF is a clear fluid that surrounds and protects the brain and spinal cord.

What is the CPT code for placement of a lumbar drain?

You are probably having a hard time finding the code because CPT terminology for this procedure doesn’t match the language surgeons use to describe lumbar drain placement. The correct code is 62272 (Spinal puncture, therapeutic, for drainage of cerebrospinal fluid [by needle or catheter]).