I could not find any early mobilisation prtocol for patients with EVD and ICP fluctuations.
Adequate mobilisation and full participation in physical rehabilitation are limited in a patient with an EVD. The authors in the paper below recommend conversion of external ventricular drains to ventriculo-peritoneal shunts after aneurysmal subarachnoid haemorrhage.They conclude that "In adult patients with aneurysmal SAH, conversion of an EVD to a VP shunt can be safely done using the same EVD site. ... protein and RBC counts in the CSF do not seem to affect shunt survival adversely."
Rammos, S., Klopfenstein, J., Augsburger, L., Wang, H., Wagenbach, A., Poston, J., & Lanzino, G. (2008). Conversion of external ventricular drains to ventriculoperitoneal shunts after aneurysmal subarachnoid hemorrhage: effects of site and protein/red blood cell counts on shunt infection and malfunction: Clinical article. Journal of neurosurgery, 109(6), 1001-1004.
Hi Aleef,
Good to see you after a long time. The mobilization of patients with EVD is very limited. In my practice setting as soon as the ICP is controlled the neurosurgeon allows us to clamp the EVD so we can start mobilizing the patient. As long as the EVD is not clamped the mobilization of patient is limited to ROM only. Please email me at [email protected].
Thank you,
Arshal Thomas.
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