Brain Damage, External Ventricular Drain, Hydrocephalus
Conditions
Brief summary
Pupillar diameter variation to predict success or failure of external ventricular derivation clamping. Pupillometry utilisation as a diagnostic tool in external ventricular clamping test in neurological ICU should improve patients care in several ways : * earlier use of ventriculo-peritoneal or ventriculo-atrial shunts to shorten the external ventricular treatment duration and thus reduce risks of infection and hospital stay duration * limit the medical imagery prescription and radiation exposition * avoid neurological deterioration linked to the external ventricular drain clamping in case of the pupillometric parameters variation would be earlier than clinical signs
Interventions
Pupillar diameter variation measurement
Sponsors
Study design
Eligibility
Inclusion criteria
* Neurologic ICU hospitalization * Traumatic brain injury * External ventricular drain
Exclusion criteria
* Legal protection * refusal * therapeutics limitation * craniectomy * pupillar anomaly
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pupillar diameter variation to predict success or failure of external ventricular clamping | 24 hours after clamping | Pupillar diameter variation twenty-four hours after external ventricular drain clamping |
Countries
France