Prezentam una din metodele elaborate in clinica pentru a miscora riscul dezvoltarii infectiei pe sunt ventricular extern. Complicatiile principale ale drenajului ventricular extern sunt ocluzia datorita cheagului de sange sau a depunerilor proteice, cat si cele infectioase care se dovedesc a fi fatale in aproximativ 30-40% de cazuri. Riscurile principale de dezvoltare a infectiei sunt interventia pe craniu deschis de lunga durata, hematomul intraventricular sau tamponada ventriculara, infectiile intercurente in special cele pulmonare, ale aparatului urogenital. Din diverse metode disponibile si tehnici, drenajul ventricular cu irigare ar prezenta facilitate utilizarii si costul redus. Sunt enuntate date preliminare din clinica de Neurochirurgie si Anestezie si Reanimare a Institutului de Neurologie si Neurochirurgie.

One of the greatest issue in the neurosurgical management of the acute hydrocephalus is the maintaining the ventricular drainage exempt of infection, especially in the acute hemorrhagic insults or yet infectious pathology. One of the current procedure is the placement of impregnated drain or instillation of antibiotics in the ventricular cavity. Still, the risks of the drainage infection remain rather high, estimated at 70% after 3-4 days in some reports. We aimed to reduce the infection related to intraventricular drainage by introducing a novel design of the drainage systems, which allows the administration of the antibiotics via the micro-tube placed in the same drainage tube. First, it assures the continuous liquid flow to prevent bacterial deposition, and second, creates an elevated gradient of antibiotics in the drainage tube but not in the ventricular cavity. We present our first data.