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Post-Hemorrhagic Hydrocephalus — Treatment Criteria — Clinical Pathway: ICU

Post-Hemorrhagic Hydrocephalus in Pre-Term Infants Clinical Pathway — N/IICU

Treatment Criteria

Consider Reservoir if the Neonate Meets the Following Criteria

Birth Weight < 1500 g
> 1500 g consider VP shunt
Intraventricular Hemorrhage Grade III or IV
Life Expectancy > 72 hrs
FOR ≥ 0.55 (moderate hydrocephalus) or an increase in FOR of 0.1

PLUS at Least 2 of the Following

Bradycardia ≥ 3 episodes requiring intervention or lasting more than 30 seconds per 24 hours not explained by other cause
Split Sutures > 2 mm (roughly a fingertip) measured 1 cm from the fontanelle
Bulging Fontanelle Above the level of the bone while calm, sitting

Measuring Ventricular Size on Cranial Ultrasound

 

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