In this section
Note: This guideline is currently under review.
Intraventricular haemorrhage (IVH) secondary to bleeding from the fragile blood vessels of the germinal matrix is associated with serious morbidity including post-hemorrhagic hydrocephalus, which can result in poor outcomes including cognitive deficits, disability and mortality. Controlled serial aspiration of cerebrospinal fluid (CSF) by tapping a surgically placed ventricular reservoir can successfully decompress the ventricular system of a preterm infant while awaiting placement of a ventriculo-peritoneal shunt. The tap is to be performed by a Doctor or Neonatal Nurse Practioner (NNP).
No consent is required but parents should be advised of the benefits and potential complications associated with the procedure:
To be performed by Doctors/NNP’s only
The neurosurgeons may leave a butterfly needle insitu with the line end and three way tap secured in an Integra Stopcock Protection Box. To perform a tap prepare as above:
evidence table for this guideline is found here.
Please remember to read the
development of this nursing guideline was coordinated by Joanne Scott, NP, Butterfly,
and approved by the Nursing Clinical Effectiveness Committee. Updated April 2016.