Ventriculostomy in Subarachnoid Hemorrhage (SAH): Intracranial Pressure (ICP) Open or Not?
| Status: | Completed |
|---|---|
| Conditions: | Neurology |
| Therapuetic Areas: | Neurology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 11/11/2012 |
| Start Date: | March 2009 |
| End Date: | August 2012 |
| Contact: | DaiWai M Olson, PhD RN CCRN |
| Email: | Olson006@mc.duke.edu |
| Phone: | 919-668-3751 |
Ventriculostomy in SAH: ICP Open or Not?
The purpose of this study is to explore two currently accepted methods of intracranial
pressure (ICP) management through cerebral spinal fluid (CRF) drainage for patients
diagnosed with subarachnoid hemorrhage (SAH). This is a randomized observational study of
two physician-prescribed approaches to managing ICP monitoring and CSF drainage for SAH
patients. The study will enroll only those patients who have ICP monitoring. Because this is
an observational study, there are no physical risks to the patient, the only risk is loss of
confidentiality.
Patients diagnosed with subarachnoid hemorrhage (SAH) who require intracranial pressure
(ICP) management through cerebral spinal fluid (CRF) drainage will be eligible for this
study.
Subjects will be randomized to receive one of two currently accepted methods of ICP
management. The first is ICP monitoring with intermittent CSF drainage and the second is
through continuous CSF drainage at set pressure thresholds.
Inclusion Criteria:
- Admitted to DUke University NCCU
- Adult (18 years of age or older)
- Primary diagnosis is Subarachnoid Hemorrhage
- Intraventricular catheter in situ
Exclusion Criteria:
- Glasgow Coma Score = 3
- Hunt and Hess Score = 5
- Prisoners
- Ventriculostomy > 72 hours
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