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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Subang Jaya Medical Centre
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Max Super Specialty Hospital, Vaishali
Ghaziabad, India
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Max Hospital, Gurgaon
Gurgaon, India
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- Established in 2007, it is part of the trusted Max Healthcare network and has treated over 500,000 patients across 35+ specialities.
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Indraprastha Apollo Hospital
Delhi, India
Types of External Ventricular Drainage in Indraprastha Apollo Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2803 - 5548 | 231743 - 459881 |
| Standard EVD | 1354 - 3307 | 108973 - 276799 |
| Minimally Invasive EVD | 1710 - 3912 | 137383 - 328275 |
| EVD with Intracranial Pressure Monitoring | 2251 - 4415 | 182290 - 363588 |
- Address: Indraprastha Apollo Hospitals, Mathura Road, Sarita Vihar, New Delhi, Delhi, India
- Facilities related to Indraprastha Apollo Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Apollo Hospitals
Hyderabad, India
Types of External Ventricular Drainage in Apollo Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2828 - 5620 | 226327 - 457445 |
| Standard EVD | 1349 - 3438 | 112152 - 277641 |
| Minimally Invasive EVD | 1672 - 3869 | 138449 - 320058 |
| EVD with Intracranial Pressure Monitoring | 2246 - 4442 | 182412 - 371191 |
- Address: Apollo Hospitals Jubilee Hills, Film Nagar, Hyderabad, Telangana, India
- Facilities related to Apollo Hospitals: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Star Hospitals
Hyderabad, India
Types of External Ventricular Drainage in Star Hospitals and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2311 - 4712 | 191385 - 384240 |
| Standard EVD | 1110 - 2824 | 91499 - 227765 |
| Minimally Invasive EVD | 1396 - 3227 | 115805 - 267181 |
| EVD with Intracranial Pressure Monitoring | 1886 - 3681 | 150932 - 305582 |
- Address: Star Hospitals, Banjara Hills, Hyderabad, Telangana, India
- Facilities related to Star Hospitals: Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe
Sterling Wockhardt Hospital
Mumbai, India
Types of External Ventricular Drainage in Sterling Wockhardt Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2537 - 5071 | 207111 - 414741 |
| Standard EVD | 1214 - 3057 | 100016 - 249916 |
| Minimally Invasive EVD | 1519 - 3540 | 125435 - 292061 |
| EVD with Intracranial Pressure Monitoring | 2026 - 4054 | 167260 - 334116 |
- Address: Sterling Wockhardt Hospital, Sion - Panvel Expressway, Sector 7, Vashi, Navi Mumbai, Maharashtra, India
- Facilities related to Sterling Wockhardt Hospital : Mobility Accessible Rooms, Rehabilitation, Religious Facilities, TV in room, Cafe
Venkateshwar Hospital
Delhi, India
Types of External Ventricular Drainage in Venkateshwar Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2536 - 5083 | 208893 - 417704 |
| Standard EVD | 1223 - 3050 | 99886 - 248785 |
| Minimally Invasive EVD | 1522 - 3548 | 124403 - 291949 |
| EVD with Intracranial Pressure Monitoring | 2026 - 4066 | 167148 - 332588 |
- Address: Venkateshwar Hospital, Sector 18, Sector 18A, Dwarka, Delhi, India
- Facilities related to Venkateshwar Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Medical Park Usak Hospital
Usak, Turkey
Medical Park is Turkey's largest network of hospitals, with hospitals in 17 cities across the country. The hospitals of Medical Park Group have the latest equipment for accurate diagnosis and effective treatment.
The existence of Medical Park in Uşak, one of the biggest and most reputable healthcare institutions in the nation, is essential to the city's further expansion and transformation into a center of high-quality healthcare. The hospital provides modern medical services, advanced technology, and a staff of highly skilled experts who provide patients in Uşak and the neighboring provinces with compassionate and efficient treatment as part of its dedication to providing high-quality healthcare for everyone.
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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
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