Post-Hemorrhagic Hydrocephalus in Pre-Term Infants Clinical Pathway — N/IICU
Post-Hemorrhagic Hydrocephalus in Pre-Term Infants Clinical Pathway — N/IICU
Decision to Convert Reservoir
Observe | FOR is not ≥ 0.55 and No persistent tapping by 38 weeks gestational age |
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Continue Taps | FOR ≥ 0.55 Persistent tapping by 38 weeks gestational age Extra-choroidal IVH Current weight is < 1500 g Abdomen not usable Child not medically stable for shunt per surgeon |
Shunt/ETV | FOR ≥ 0.55 Persistent tapping by term date Extra-choroidal IVH Current weight ≥ 1500 g Abdomen usable When considering conversion, patient should get MRI so an Endoscopic Third Ventriculostomy (ETV) with CPC coagulation can be considered |