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Post-Hemorrhagic Hydrocephalus — Decision to Convert — Clinical Pathway: ICU

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
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

 

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