Updates on techniques and technology to optimize external ventricular drain placement: A review of the literature
Hiest Ofoma, Barry Cheaney, Nolan J. Brown, Brian V. Lien, Alexander Himstead, Elliot H. Choi, Sebastian Cohn, Jessica K Campos, Michael Oh
Abstract
External ventricular drainage is a common and invaluable neurosurgical procedure and is one of the first procedures learned and performed independently by neurosurgical residents. As accuracy and precision are paramount to EVD placement, attention to technique is paid early in a resident's training. With the advancement of virtual technology, it has become increasingly possible to move away from traditional training situations and human error, and towards automated assistance and superior cyber learning environments. Although there is significant room for improvement, there are promising results with computerized placement guides and virtually augmented practice. Here, we provide a review of the updates on EVD placement techniques, technology and training, all of which serve to improve the precision, accuracy and efficiency of EVD placement.