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