Cerebrospinal fluid (CSF) can be temporarily removed from the brain's ventricles via an external ventricular drainage procedure (EVD). CSF surrounds the brain and spinal cord, aiding in their defense. The brain's ventricles are the regions that hold this fluid. This page provides you with information about external ventricular drainage and what to expect when your child undergoes this procedure, courtesy of Great Ormond Street Hospital (GOSH). The brain ventricle is punctured with a catheter, a tiny plastic tube, which is used in the external ventricular drainage (EVD) system. This is linked to an external drainage system.
Factors affecting the cost of the External Ventricular Drainage:
- Hospital Fees: A substantial portion of the total expense of EVD is related to hospital fees. This covers overhead expenditures, personnel wages, administrative fees, and costs related to using hospital facilities.
- Procedure Complexity: An EVD procedure's cost may vary depending on how complicated it is. If there are any issues with the drain's insertion or maintenance, more resources might be needed, which would raise the final cost.
- Medical Supplies and Equipment: The price of the supplies and equipment needed for the EVD process, such as dressings, catheters, tubing, sterile drapes, and the drain itself, can add a substantial amount to the final cost.
- Physician Fees: The total cost will also be impacted by the professional fees that the neurosurgeon or other physician performing the EVD procedure will charge. This could change depending on the surgeon's background, area of specialization, and region.
- Anesthesia Fees: These costs will be added to the total cost of the EVD operation if general anesthesia or sedation is needed. These fees may vary depending on the kind and length of anesthetic used.
- Hospital Stay: The total cost may vary depending on how long a patient must stay in the hospital for EVD insertion and the following monitoring. Room and board, nursing care, and other related services will cost more during extended hospital stays.
- Diagnostic Examinations and Monitoring: Before, during, and after the implantation of an EVD, additional diagnostic examinations such as imaging investigations (such as CT scans and MRIs) and monitoring (such as intracranial pressure monitoring) may be required. The expense is increased overall by these tests and monitoring.
- Complications and Follow-up Care: Adverse events resulting after the implantation of an EVD, such as bleeding or infections, may require further medical attention, prescription drugs, or surgery. One should think about how much it will cost to manage these issues and provide follow-up care.
- Geographical Location: Local market dynamics and a patient's geographic location might affect the cost of healthcare services. In comparison to rural areas, hospitals in urban areas or places with higher cost of life may charge more.
| Country | Cost | Local_currency |
|---|---|---|
| United Kingdom | USD 2545 - 5053 | 2011 - 3992 |
| Turkey | USD 2299 - 5653 | 69292 - 170381 |
| Spain | USD 2000 | 1840 |
| United States | USD 3000 - 5600 | 3000 - 5600 |
| Singapore | USD 1300 - 3200 | 1742 - 4288 |
An external ventricular drain (EVD), also referred to as ventriculostomy or extra ventricular drain, is a neurosurgical device used to manage hydrocephalus and reduce elevated intracranial pressure caused by blockages in the normal flow of cerebrospinal fluid (CSF) within the brain.
The temporary drainage of cerebrospinal fluid (CSF) from the lateral ventricles of the brain or the lumbar area of the spine into an external collection bag is known as external drainage and monitoring. Using a mix of gravity and intracerebral pressure, an external ventricular drainage (EVD) system drains CSF. The rate of drainage is determined by the height of the EVD system in relation to the patient's anatomy.
In neurocritical care, EVDs are used to:
- Reduce high intracranial pressure (ICP)
- CSF (cerebrospinal fluid) that has become infectious should be drained
- After surgery or a hemorrhage, drain any crimson CSF or blood
- Keep an eye on the CSF flow rate
- Patients undergoing open TAA/TAAA repair surgery or who become symptomatic after surgery should have their CSF removed
Types of drainage used in EVD:
- Continuous drainage
- Intermittent drainage
- A neurosurgeon places a catheter in the ventricular system of the brain following creation of a minute hole (burr hole) in the cranium, normally in the forehead bone.
- To measure and control intracranial pressure and to let CSF be drained out, the catheter is connected to an external draining and monitoring unit.
- The drain is pitched to a definite level to control the flow.
- Infection
- Bleeding
- Hematoma
- Catheter blockage
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Prince Court Medical Centre
Kuala Lumpur, Malaysia
Prince Court is a private medical facility in the center of Kuala Lumpur that has 277 individual beds. Our dedication is to provide you with the best treatment possible from the time you arrive until you depart, healthier and happier. We are well-known for our top-notch facilities, cutting-edge technology, and friendly customer service.
BLK-Max Super Speciality Hospital
Delhi, India
BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.
Kings College Hospital Dubai
Dubai, United Arab Emirates
Types of External Ventricular Drainage in Kings College Hospital Dubai and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| External Ventricular Drainage (Overall) | 3194 - 10007 | 11843 - 36804 |
| Standard EVD | 2495 - 6873 | 8936 - 24718 |
| Minimally Invasive EVD | 3296 - 6606 | 11719 - 24506 |
| EVD with Intracranial Pressure Monitoring | 3979 - 9977 | 14621 - 35824 |
- Address: King's College Hospital London, Dubai, East Exit - Al Marabea' Street - Dubai - United Arab Emirates
- Facilities related to Kings College Hospital Dubai: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Parkway Pantai
Kuala Lumpur, Malaysia
Parkway Pantai located in Kuala Lumpur, Malaysia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 335 beds
- 200+ specialist Doctors
- Critical Care Unit
- Neonatal Intensive Care Unit
- Operating Theatre
- International Patient Care Center
- Types of rooms available- Premier Suite, Supreme Suite, Deluxe Single Room, 2-bedded room, 4-bedded room, Deluxe Suite, Premier Single room, and Supreme Single room
Artemis Health Institute
Gurgaon, India
Types of External Ventricular Drainage in Artemis Health Institute and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2787 - 5652 | 233579 - 470041 |
| Standard EVD | 1360 - 3417 | 112939 - 276427 |
| Minimally Invasive EVD | 1705 - 3995 | 138785 - 319680 |
| EVD with Intracranial Pressure Monitoring | 2232 - 4485 | 185186 - 375068 |
- Address: Artemis Hospitals, Sector 51, Gurugram, Haryana, India
- Facilities related to Artemis Health Institute : Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
Sunway Medical Centre
Kuala Lumpur, Malaysia
Sunway Medical Centre has initiated a comprehensive expansion plan close to its current hospital facility to enhance its ability to provide services to the global market. The new Cancer Radiosurgery Center and Nuclear Medicine Center, which will also house additional Centers of Excellence like the Digestive Health Center and Dialysis Center, marked the completion of Tower C's first phase in October 2016.
Bangpakok 9 International Hospital
Bangkok, Thailand
Types of External Ventricular Drainage in Bangpakok 9 International Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (THB) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2710 - 6669 | 97447 - 239523 |
| Standard EVD | 2024 - 4648 | 71416 - 165413 |
| Minimally Invasive EVD | 2672 - 5395 | 96507 - 191199 |
| EVD with Intracranial Pressure Monitoring | 3419 - 6889 | 123666 - 243697 |
- Address: Bangpakok 9 International Hospital, International Hospital, Rama II Road, Bang Mot, Chom Thong, Bangkok, Thailand
- Facilities related to Bangpakok 9 International Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medipol Bahçelievler Hospital
Istanbul, Turkey
Medipol Bahcelievler Hospital is a medical institution providing a full range of medical and individualized approaches to its patients. Medipol has the ambition to bring high quality and maximum security to people in need by employing state-of-the-art technologies in medicine. They ensure that the health of the patients is improved by fashioning unique physician specialty treatment programs.
Medipol Bahcelievler Hospital provides an exceptional position in the healthcare industry with a policy of clear communication, professionalism, and reliability to patient expectations. Medipol Bahçelievler Hospital is situated in the European Side of Istanbul, dedicated to 24-hour health care for you and your loved ones, equipped with a fully functional operation theatre and ICUs with state-of-the-art equipment, laboratory, emergency, and advanced treatment rooms
Medanta - The Medicity
Gurgaon, India
Types of External Ventricular Drainage in Medanta - The Medicity and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2824 - 5656 | 227875 - 465980 |
| Standard EVD | 1345 - 3324 | 110801 - 279770 |
| Minimally Invasive EVD | 1705 - 4015 | 140029 - 320894 |
| EVD with Intracranial Pressure Monitoring | 2224 - 4532 | 182736 - 372205 |
- Address: Medanta The Medicity, Medicity, Islampur Colony, Sector 38, Gurugram, Haryana, India
- Facilities related to Medanta - The Medicity: Mobility Accessible Rooms, TV in room, Religious Facilities, Health Insurance Coordination, Cafe
ParkCity Medical Centre
Kuala Lumpur, Malaysia
In Kuala Lumpur, Malaysia, ParkCity Medical Centre is a 300-bed, cutting-edge, interdisciplinary private hospital that provides award-winning private healthcare in an environment of lush vegetation.
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+99Process Involved for External Ventricular Drainage
- Consultation: To assess symptoms and determine if EVD is warranted, make an appointment with a neurosurgeon or neurologist.
- Preoperative Assessment: To verify the diagnosis of hydrocephalus or other illness necessitating EVD, take a patient's medical history and symptoms and perform imaging studies.
- Treatment Discussion: Based on the patient's condition, decide whether EVD is the most appropriate course of action or whether other treatments could be considered.
- Surgical Planning: Discuss the procedure's benefits, risks, and expected recovery with the patient.
- After Surgery Follow-up: Monitor recovery, deal with any issue, and check the procedure's effectiveness with follow-up imaging and symptom checking.
- Acute Hydrocephalus
- Traumatic Brain Injury
- Intracranial Hemorrhage
- Brain Tumors
- Infections
- Acute Hydrocephalus (increased intracranial pressure due to fluid buildup)
- Traumatic Brain Injury (TBI) (with hydrocephalus or brain swelling)
- Intracranial Hemorrhage (bleeding in the brain)
- Brain Tumors
- Post-Surgical Drainage
- Infections (such as meningitis, requiring pressure relief)
- Reduced Intracranial Pressure
- Improved Neurological Function
- Prevention of Further Brain Damage
- Stabilisation of the Patient’s Condition
- Neurologist
- Neurosurgeon
- Fill out the inquiry form: Fill out the form to provide us with the relevant information about your condition.
- Consult with Our Healthcare Expert: One of our qualified specialists will contact you for a consultation.
- Receive a Detailed Treatment Plan: After examining your situation, we will provide you with a detailed treatment plan that includes expert views and cost breakdowns for various choices.
- Choose your preferred option: Choose the treatment option that suits you the best.
