Perioperative management of adult patients with external ventricular and lumbar drains: Guidelines from the society for neuroscience in anesthesiology and critical care

Abhijit V. Lele, Amie L. Hoefnagel, Nina Schloemerkemper, David A. Wyler, Nophanan Chaikittisilpa, Monica S. Vavilala, Bhiken I. Naik, James H. Williams, Lakshmikumar Venkat Raghavan, Ines P. Koerner

Research output: Contribution to journalReview article

7 Scopus citations


External ventricular drains and lumbar drains are commonly used to divert cerebrospinal fluid and to measure cerebrospinal fluid pressure. Although commonly encountered in the perioperative setting and critical for the care of neurosurgical patients, there are no guidelines regarding their management in the perioperative period. To address this gap in the literature, The Society for Neuroscience in Anesthesiology & Critical Care tasked an expert group to generate evidence-based guidelines. The document generated targets clinicians involved in perioperative care of patients with indwelling external ventricular and lumbar drains.

Original languageEnglish (US)
Pages (from-to)191-210
Number of pages20
JournalJournal of Neurosurgical Anesthesiology
Issue number3
StatePublished - Jan 1 2017



  • checklist
  • competency
  • external ventricular drain
  • guidelines
  • leveling
  • lumbar drain
  • management
  • perioperative
  • transport
  • ventriculostomy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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