Re: Transport of ventriculostomy patient

[mvojtko@juno.com]

I've never transported one by air, but have done a few ground transports
with
patients with ventric's.

I have always left the ventric clamped, even when the patient was just
going
down the hall to the scanner.  I feel this much safer, because if the
ventric
was open, there's too great a potential to create a negative pressure
when 
there's a change in the elevation of the transducer.

Frequent leveling of the transducer is important, so the proper drainage
is
maintained, and not excentuated, as well as accurate trending of IC
pressures.

I would also include training and procedures for flushing the ventric
line, should
there be a loss of an appropriate waveform--just because there's a
waveform
doesn't mean the information is correct, as well a correct functioning of
the ventric
itself.  Of importance, flusing of a ventric must be done with perfect
STERILE	
technique.

Good question.  Just some thoughts to consider.

MV

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