Book chapter
Spinal Fluid Drainage
Advanced Anesthesia Review, pp.188-C72.S6
Oxford University Press
2023
DOI: 10.1093/med/9780197584521.003.0072
Abstract
Abstract The cerebrospinal fluid (CSF) is contained in the brain ventricles and the cranial and spinal subarachnoid spaces. The mean CSF volume is 150 mL, with 25 mL in the ventricles and 125 mL in subarachnoid spaces. CSF is renewed about four times every 24 hours. The CSF space is a dynamic pressure system. CSF pressure determines intracranial pressure, with physiological values ranging between 3 and 4 mm Hg before the age of 1 year and between 10 and 15 mm Hg in adults. Either alone or in combination with other interventions, CSF drainage remains one of the most frequently used spinal cord protection techniques. Despite no definitive proof of efficacy for reducing spinal cord injury, there are compelling data supporting its use. However, the potential benefit of CSF drainage must be balanced against the risks associated with its use, including nerve injury during insertion, compressive neuraxial hematoma formation, intracranial hemorrhage due to excessive drainage, and infection. The optimal benefit-to-risk ratio can be achieved by understanding the rationale for its use and following practical management guidelines.
Details
- Title: Subtitle
- Spinal Fluid Drainage
- Creators
- Deepak AgarwalLovkesh L. Arora
- Resource Type
- Book chapter
- Publication Details
- Advanced Anesthesia Review, pp.188-C72.S6
- Publisher
- Oxford University Press; New York
- DOI
- 10.1093/med/9780197584521.003.0072
- Language
- English
- Date published
- 2023
- Academic Unit
- Anesthesia
- Record Identifier
- 9984530392102771
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