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  • 1
    Electronic Resource
    Electronic Resource
    Ventriculopleural shunting used as a temporary diversion (1992)
    Springer
    Acta neurochirurgica 115 (1992), S. 67-68 
    Details
    ISSN: 0942-0940
    Keywords: Hydrocephalus ; ventriculopleural shunt ; pleural effusion
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Due to the limited absorptive capacity of the pleural cavity, infants and young children are not generally ideal candidates for ventriculopleural shunts. We report using chest cavities as alternate for temporary diversion of CSF in a young child. Venous access to the cervical region could not be utilized because of scarring from previous procedures, while peritoneal access was contraindicated due to repeated pseudocyst formation. Pleural effusions were removed by thoracentesis when necessary, and the shunt catheter was changed to the opposite side of the chest when the effusions reaccumulated within one week. Utilizing the ventriculopleural shunts allowed us to temporize her non-communicating hydrocephalus for a period of one year, until a definitve CSF procedure by direct intracardiac placement of the distal catheter could be performed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01400595
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Teaching surgeons to operate—Principles of psychomotor skills training (1987)
    Springer
    Acta neurochirurgica 87 (1987), S. 1-7 
    Details
    ISSN: 0942-0940
    Keywords: Educational measurement ; educational research and evaluation ; internship and residency ; teaching methods and material
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Although the ultimate success of surgery depends on the use of adequate psychomotor skills, the evaluation of the abilities of a trainee and the teaching of these skills has not been systematized. The choice of a trainee in surgery should be based at least partially on his innate abilities, and his training should be begun at an appropriate level. The procedures he may do should be analyzed to determine the skills required for their performance. Then these skills should be taught specifically, initially in non-threatening situations such as laboratory settings, and their acquisition assessed so that he can be progressed to more advanced work at the appropriate time. Ultimately a decision must be made whether to train a candidate to a skill level or whether to train him for a set period and then counsel him regarding which procedures he has the skills to perform. There are well developed concepts in educational psychology that may be used in developing improved methods to assess and train prospective surgeons.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF02076007
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Post-traumatic subdural hygromas: Observations concerning a surgical enigma (1984)
    Springer
    Acta neurochirurgica 72 (1984), S. 197-209 
    Details
    ISSN: 0942-0940
    Keywords: CT scan ; ICP monitoring ; Richmond bolt ; subdural hygroma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Four per cent (38) of 881 head injured patients developed known subdural hygromas. Their times of onset and course were variable. However, only two large hygromas seemed clinically significant. Hygromas were more frequent when intracranial pressure monitors were placed, possibly due to opening of the arachnoid, particularly if intracranial pressure was low. But, of course, monitors were only inserted in more severely injured patients. The use of Richmond bolts to drain subdural hygromas in a controlled fashion while monitoring intracranial pressure is suggested.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01406870
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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