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  • 1
    ISSN: 1433-0350
    Keywords: Key words External ventricular drainage ; Preterm infant ; Intraventricular-periventricular hemorrhage ; Posthemorrhagic hydrocephalus
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  We previously reported on a series of 27 newborn infants treated for posthemorrhagic hydrocephalus with external ventricular drainage during 1984 to 1989. In the present study we continued to evaluate this technique during the subsequent 8 years (37 patients; mean birthweight 1251±478 g; mean gestational age 29±2.9 weeks; 51 drains), and we now report on the long-term experience with this method, complications, and neurodevelopmental outcome of the survivors. The mean age at drain insertion was 21 days, and the mean duration of drainage 23 days. Eight infants died of causes unrelated to external ventricular drainage. Eleven of the survivors did not require a permanent shunt. Two patients experienced ventriculitis, resulting in an infection rate of 5.4% per patient and 3.9% per drain. The neurodevelopmental outcome was mainly dependent on the extent of the pre-existing parenchymal injury. We conclude that external ventricular drainage is a safe and effective technique for the management of preterm infants with posthemorrhagic hydrocephalus.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Radiologe 40 (2000), S. 2-7 
    ISSN: 1432-2102
    Keywords: Schlüsselwörter ; Neugeborenes ; Frühgeborenes ; Bildgebung ; Key words ; Newborn ; Premature infant ; Diagnostic imaging
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Modern neonatology comprises care for a growing number of infants with congenital abnormalities and an increasing number of premature born infants. The survival rates of premature infants have increased dramati- cally during the past decade. This increase in survival rates can be attributed to improved prenatal and obstetric management and to advances in neonatal intensive care medicine. Radiological support: Neonatology has become a pediatric subspeciality of its own resulting in the demand for an equally specialised radiological support. Therefore the availability of a children´s radiologist for radiological and sonographic examinations is mandatory (24 hours a day) for optimal patient care on a neonatal intensive care unit. A good cooperation between radiologist and neonatologist in neonatal intensive care medicine is therefore warranted.
    Notes: Zusammenfassung Die moderne Neugeborenenintensivmedizin umfasst neben den typischen neonatalen Krankheitsbildern eine wachsende Zahl kleiner Frühgeborener mit einem Geburtsgewicht 〈1500 g und eine, durch verbesserte pränatale Diagnostik, zunehmend größer werdende Gruppe von Kindern mit komplexen Fehlbildungen. Anforderungen an den Radiologen: Diese Entwicklungen stellen auch an den Radiologen neue Anforderungen; neben der zunehmenden Zahl an Frühgeborenen und ihren speziellen Krankheitsbildern ist auch die Abklärung von speziellen, beim Intensivpatienten auftretenden Problemen erforderlich. Durch die meist gegebene Dringlichkeit der radiologischen Abklärung ist die Verfügbarkeit eines Kinderradiologen rund um die Uhr unabdingbar. Zudem müssen fahrbare Röntgen- und Ultraschallgeräte zur Verfügung stehen, um eine Diagnostik direkt am Krankenbett zu ermöglichen. Diskussion: An einer Neugeborenenintensivstation ist daher eine enge Zusammenarbeit mit dem Kinderradiologen unbedingt notwendig.
    Type of Medium: Electronic Resource
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