دورية أكاديمية
Manual Shunt Connector Tool to Aid in No-Touch Technique.
| العنوان: | Manual Shunt Connector Tool to Aid in No-Touch Technique. |
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| المؤلفون: | Lai GY; Department of Neurological Surgery , McGaw Medical Center of Northwestern University, Chicago, Illinois.; Center for Image Guided Innovation and Therapeutic Intervention, Hospital for Sick Children, Toronto, Canada., Voyer-Nguyen P; Center for Image Guided Innovation and Therapeutic Intervention, Hospital for Sick Children, Toronto, Canada., Looi T; Center for Image Guided Innovation and Therapeutic Intervention, Hospital for Sick Children, Toronto, Canada., Drake JM; Center for Image Guided Innovation and Therapeutic Intervention, Hospital for Sick Children, Toronto, Canada.; Division of Neurosurgery, Hospital for Sick Children, Toronto, Canada., Hanak BW; Division of Neurosurgery, Hospital for Sick Children, Toronto, Canada.; Department of Neurosurgery, Loma Linda University Health, Loma Linda, California. |
| المصدر: | Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2021 Jan 13; Vol. 20 (2), pp. 183-188. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 101635417 Publication Model: Print Cited Medium: Internet ISSN: 2332-4260 (Electronic) Linking ISSN: 23324252 NLM ISO Abbreviation: Oper Neurosurg (Hagerstown) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : [Philadelphia] : Lippincott Williams & Wilkins, Inc. Original Publication: Hagerstown, MD: Lippincott, Williams & Wilkins, 2014- |
| مواضيع طبية MeSH: | Hydrocephalus*/surgery, Catheters ; Cerebrospinal Fluid Shunts ; Humans ; Neurosurgeons ; Prostheses and Implants |
| مستخلص: | Background: Given the morbidity and cost associated with cerebrospinal fluid shunt infections, many neurosurgical protocols implement "no-touch" technique to minimize infection. However, current surgical tools are not designed specifically for this task and surgeons often resort to using their hands to connect the shunt catheter to the valve. Objective: To develop an efficient and effective shunt assembly tool. Methods: Prototypes were designed using computer assisted software and machined in stainless steel. The amount of time and number of attempts it took volunteers to connect a Bacticel shunt catheter to a Delta valve were recorded using the new tool and standard shodded mosquitos. Scanning electron microscopy (SEM) was done on manipulated catheters to assess potential damage. Practicing neurosurgeons provided feedback. Results: Nonsurgeon (n = 13) volunteers and neurosurgeons (n = 6) both completed the task faster and with fewer attempts with the new tool (mean 7.18 vs 15.72 s and 2.00 vs 6.36 attempts, P < .0001; mean 2.93 vs 5.96 s and 1.06 vs 2.94 attempts, P < .001, respectively). SEM of 24 manipulated catheters showed no microscopic damage. 100% of neurosurgeons surveyed (n = 10) would adapt the tool in their practice, 90% preferred use of the new tool compared to their existing method, and 100% rated it easier to use compared to existing instruments. Conclusion: The new tool shortened the time and number of attempts to connect a shunt catheter to a valve. Neurosurgeons preferred the new tool to existing instruments. There was no evidence of catheter damage with the use of this tool. (Copyright © 2020 by the Congress of Neurological Surgeons.) |
| فهرسة مساهمة: | Keywords: CSF shunt; Hydrocephalus; Neurosurgical tool; Shunt infection |
| تواريخ الأحداث: | Date Created: 20200925 Date Completed: 20210621 Latest Revision: 20210621 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1093/ons/opaa284 |
| PMID: | 32974661 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2332-4260 |
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| DOI: | 10.1093/ons/opaa284 |