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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Sarvodaya Hospital and Research Centre
Faridabad, India
Types of External Ventricular Drainage in Sarvodaya Hospital and Research Centre and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2533 - 5075 | 209050 - 415574 |
| Standard EVD | 1213 - 3040 | 99431 - 250280 |
| Minimally Invasive EVD | 1527 - 3543 | 124502 - 292675 |
| EVD with Intracranial Pressure Monitoring | 2022 - 4075 | 165733 - 334546 |
- Address: Sarvodaya Hospital, Sector 8, Faridabad, Haryana, India
- Facilities related to Sarvodaya Hospital and Research Centre: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hospital
Bangalore, India
Types of External Ventricular Drainage in Fortis Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2550 - 5100 | 208619 - 414354 |
| Standard EVD | 1222 - 3036 | 100046 - 250705 |
| Minimally Invasive EVD | 1517 - 3557 | 125297 - 292351 |
| EVD with Intracranial Pressure Monitoring | 2032 - 4065 | 166110 - 333886 |
- Address: Fortis Hospital, Sahyadri Layout, Panduranga Nagar, Bangalore, Karnataka, India
- Facilities related to Fortis Hospital: Post operative followup, Mobility Accessible Rooms, Online Doctor Consultation, Air Ambulance, Religious Facilities
Fortis Hiranandani Hospital
Mumbai, India
Types of External Ventricular Drainage in Fortis Hiranandani Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2541 - 5057 | 207866 - 416043 |
| Standard EVD | 1214 - 3058 | 99832 - 250665 |
| Minimally Invasive EVD | 1521 - 3559 | 125134 - 291435 |
| EVD with Intracranial Pressure Monitoring | 2028 - 4059 | 166697 - 331596 |
- Address: Fortis Hiranandani Hospital Vashi, Sector 10A, Vashi, Navi Mumbai, Maharashtra, India
- Facilities related to Fortis Hiranandani Hospital: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Aakash Healthcare Super Speciality Hospital
Delhi, India
Types of External Ventricular Drainage & Its Cost at Aakash Healthcare Super Speciality Hospital
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (EVD) | 2,500 - 4,000 | 205000 - 328000 |
Factors affecting External Ventricular Drainage cost in Aakash Healthcare Super Speciality Hospital
| Cost Factors | Cost Range (USD) | Cost Range (INR) |
|---|---|---|
| Surgeon's Fee | 500 - 1,000 | 41000 - 82000 |
| Anesthesia Charges | 300 - 500 | 24600 - 41000 |
| Medications and Supplies | 200 - 300 | 16400 - 24600 |
| Diagnostic Tests | 150 - 250 | 12300 - 20500 |
| Hospital Stay per day | 150 - 250 | 12300 - 20500 |
| Intensive Care Unit (ICU) | 500 - 800 | 41000 - 65600 |
| Miscellaneous Charges | 100 - 200 | 8200 - 16400 |
Aster Medcity
Kochi, India
Types of External Ventricular Drainage in Aster Medcity and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (INR) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2545 - 5053 | 209082 - 415572 |
| Standard EVD | 1218 - 3045 | 100362 - 249609 |
| Minimally Invasive EVD | 1521 - 3568 | 124519 - 291916 |
| EVD with Intracranial Pressure Monitoring | 2021 - 4060 | 166755 - 332822 |
- Address: Aster Medcity Hospital, South Chittoor, Kochi, Kerala, India
- Facilities related to Aster Medcity: Choice of Meals, Interpreter, SIM, TV inside room, Accommodation
Medicana Camlica Hospital
Istanbul, Turkey
Types of External Ventricular Drainage in Medicana Camlica Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2288 - 5737 | 67922 - 168244 |
| Standard EVD | 1689 - 3975 | 50477 - 116095 |
| Minimally Invasive EVD | 2269 - 4460 | 68837 - 132935 |
| EVD with Intracranial Pressure Monitoring | 2782 - 5532 | 83224 - 167175 |
- Address: Kısıklı Mahallesi, MEDICANA ?amlıca Hospital, ?sküdar/Istanbul, Turkey
- Facilities related to Medicana Camlica Hospital: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Thumbay University Hospital, Ajman
Ajman, United Arab Emirates
Types of External Ventricular Drainage in Thumbay University Hospital, Ajman and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (AED) |
|---|---|---|
| External Ventricular Drainage (Overall) | 3324 - 10113 | 11914 - 35564 |
| Standard EVD | 2497 - 6731 | 9107 - 25235 |
| Minimally Invasive EVD | 3319 - 6665 | 11824 - 25038 |
| EVD with Intracranial Pressure Monitoring | 4116 - 9694 | 15000 - 35672 |
- Address: Thumbay University Hospital - Ajman - United Arab Emirates
- Facilities related to Thumbay University Hospital, Ajman: Online Doctor Consultation, Post operative followup, Mobility Accessible Rooms, Rehabilitation, Air Ambulance
Medical Park Karadeniz Hospital
Trabzon, Turkey
Types of External Ventricular Drainage in Medical Park Karadeniz Hospital and its associated cost
| Treatment Option | Approximate Cost Range (USD) | Approximate Cost Range (TRY) |
|---|---|---|
| External Ventricular Drainage (Overall) | 2234 - 5660 | 67421 - 171415 |
| Standard EVD | 1723 - 3909 | 50181 - 120954 |
| Minimally Invasive EVD | 2291 - 4543 | 68797 - 138114 |
| EVD with Intracranial Pressure Monitoring | 2846 - 5738 | 85932 - 168362 |
- Address: n
- Facilities related to Medical Park Karadeniz Hospital: Choice of Meals, Interpreter, TV inside room, Accommodation, Airport Transfer
Meliva Kardiolita Hospital, Kaunas
Kaunas, Lithuania
Apart from in-detail treatment procedures available, Kardiolita Hospital, Kaunas located in Kaunas, Lithuania has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals. Also listed below are some of the most prominent infrastructural details:
- An outpatient department, 56-beds for inpatients
- 13 advanced operation theatres
- 24-hour intensive care unit
- Emergency Department
- Gynecology Center
- Vascular Center
- ENT Center
- Neurology Center
- General and Abdominal Surgery Center
- The staff also takes care of your air travel and pick & drop facility
- Gynecology Center
- Vascular Center
- ENT Center
- Neurology Center
- General and Abdominal Surgery Center
- The staff also takes care of your air travel and pick & drop facility
Sagrat Cor University Hospital
Barcelona, Spain
The Hospital is an amalgamation of a group of buildings located in the Eixample Left of Barcelona, ??between Paris, Viladomat, and London streets. It has a capacity of 350 adjustable beds and first-class hotel-like services inpatient rooms. Currently, it has a workforce of about 1100 Healthcare Professionals.
In order to treat patients with intensive care, the Hospital has 10 beds in its ICU for critically ill patients.
The Hospital has launched a few more things to improve customers’ services- 4 new Operating Rooms and a New Diagnostic Imaging Service.
Other Services
- Surgical Block with 13 major surgery operating rooms, 5 operating rooms for Minor Surgeries, 1 for Dermatology Service
- The Non-Admitted Surgery Unit (UCSI) Major Outpatient Surgery (CMA) has a total of 14 units to care for major surgery patients who do not require admission to hospitalization
- Rehabilitation Center with treatment boxes and group therapy room, Gym, Medical visit offices, priests rooms, waiting rooms, and others
- 7 Examination Cabinets
- The pediatric patients waiting room
- Emergency Center-12 emergency boxes, 1 double resuscitation box, and 7 rapid visit offices
Types of Room
Double Rooms, Double Rooms for Individual Use, and Single Rooms; equipped with an easy-to-use electrical movement control system and a nursing call/warning system, located at the head of the bed, a sofa-bed for the companion, and a bathroom with a shower. They are also equipped with television and telephone.
A cafeteria/Restaurant is also available for the patients or visitors.
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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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