المؤلفون: Moncur, Eleanor M., Murphy, Mary, Craven, Claudia L.

المصدر: Journal of Neurosciences in Rural Practice; Apr-Jun2024, Vol. 15 Issue 2, p357-360, 4p

مصطلحات موضوعية: FORAMEN magnum, ARNOLD-Chiari deformity, TEST validity, FEASIBILITY studies, PERCEIVED benefit

مستخلص: Foramen magnum decompression (FMD) is a standard neurosurgical procedure, typically utilized to treat Chiari malformation. The aim of this educational project was to develop and validate a low-cost FMD simulation training model. Mold-based methods were used to develop a prototype. Feasibility was tested during an FMD training session for 17 neurosurgery trainees. Face and content validity were assessed through a Likert Scale. The perceived training benefit was determined using the Physician Performance Diagnostic Inventory Scale (PPDIS). A total of 87.5% successfully removed the C1 arch, 81.3% successfully performed an FMD, and 68.8% avoided injury to the underlying structures. The model scored highly for visual and tactile realism. The median confidence rating on PPDIS significantly improved from early learner to competent. We demonstrate feasibility, content, and face validity. Furthermore, this is a low-cost, portable model that can be easily replicated and used for simulation training. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Neurosciences in Rural Practice is the property of Thieme Medical & Scientific Publishers Private Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Craven, Claudia L., Thompson, Simon D., Toma, Ahmed K., Watkins, Laurence D.

المصدر: Journal of Korean Neurosurgical Society; 2019, Vol. 62 Issue 1, p123-129, 7p

مصطلحات موضوعية: CEREBROSPINAL fluid shunts, SURGICAL anastomosis, SKIN care products, CEREBROSPINAL fluid, POVIDONE-iodine, SKIN

مستخلص: Objective: Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. Methods: The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the 'double incision' whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. Results: Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. Conclusion: The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Korean Neurosurgical Society is the property of Korean Neurosurgical Society and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Chau, Charlene Y. C., Craven, Claudia L., Rubiano, Andres M., Adams, Hadie, Tülü, Selma, Czosnyka, Marek, Servadei, Franco, Ercole, Ari, Hutchinson, Peter J., Kolias, Angelos G.

المصدر: Journal of Clinical Medicine; Sep2019, Vol. 8 Issue 9, p1422, 1p

مصطلحات موضوعية: BRAIN injuries, DRAINAGE, INTRACRANIAL pressure, CLINICAL indications, CEREBROSPINAL fluid

مستخلص: External ventricular drains (EVDs) are commonly used in neurosurgery in different conditions but frequently in the management of traumatic brain injury (TBI) to monitor and/or control intracranial pressure (ICP) by diverting cerebrospinal fluid (CSF). Their clinical effectiveness, when used as a therapeutic ICP-lowering procedure in contemporary practice, remains unclear. No consensus has been reached regarding the drainage strategy and optimal timing of insertion. We review the literature on EVDs in the setting of TBI, discussing its clinical indications, surgical technique, complications, clinical outcomes, and economic considerations. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Clinical Medicine is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)