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Incidence of reoperation for ventriculo-peritoneal shunt in adult patients in relation to challenges of the perioperative nurse

Halling, Irina LU (2017) OPSM20 20171
Department of Health Sciences
Abstract
Background: Ventriculo-peritoneal (VP) shunt is a catheter which circulate flow of cerebrospinal fluid (CSF) from the lateral ventricle to the abdomen and it is the most commonly used shunt in modern neurosurgery. Complications of VP shunts are very common and often require emergency services. For the perioperative nurse this means that theVP shunt reoperation is one of the most often performed emergency operations in neurosurgery with many unknowns.
Aim: To study the incidence of VP shunt reoperation in adult patients in relation to the challenges of the perioperative nurse in selection and preparation for acute reoperation.
Method: Descriptive statistic analyse from a quality register of cases from shunt register and operation notes... (More)
Background: Ventriculo-peritoneal (VP) shunt is a catheter which circulate flow of cerebrospinal fluid (CSF) from the lateral ventricle to the abdomen and it is the most commonly used shunt in modern neurosurgery. Complications of VP shunts are very common and often require emergency services. For the perioperative nurse this means that theVP shunt reoperation is one of the most often performed emergency operations in neurosurgery with many unknowns.
Aim: To study the incidence of VP shunt reoperation in adult patients in relation to the challenges of the perioperative nurse in selection and preparation for acute reoperation.
Method: Descriptive statistic analyse from a quality register of cases from shunt register and operation notes in the Hospital of Sweden.
Result: The risk that patients with a first VP shunt operation get complications and must be reoperated during first sex month is high, the majority of patients who needed acute reoperation of VP shunt was patients with congenital anomaly and NPH. The main complication was infection, and the risk to get infection was highest during the first month efter shunt implantation.The process of the operation and final diagnosis is often different that what was preoperatively planned.
Conclusion: The handling of instruments and how the borderline room can be used to provide needed instruments in a quick and precise way without introducing risks of bacterial infection should be discussed in department of neurosurgery. Study should be supplied additional quantitative research in VP shunt complication in a bigger study group to make more clear connection between ethiology of hydrocephalus and VP shunt complications. (Less)
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author
Halling, Irina LU
supervisor
organization
alternative title
A retrospespective register study on complications
course
OPSM20 20171
year
type
H1 - Master's Degree (One Year)
subject
keywords
perioperative nursing, ventriculo-peritoneal shunt, reoperation
language
English
id
8910319
date added to LUP
2017-06-02 11:23:16
date last changed
2017-06-07 13:58:51
@misc{8910319,
  abstract     = {Background: Ventriculo-peritoneal (VP) shunt is a catheter which circulate flow of cerebrospinal fluid (CSF) from the lateral ventricle to the abdomen and it is the most commonly used shunt in modern neurosurgery. Complications of VP shunts are very common and often require emergency services. For the perioperative nurse this means that theVP shunt reoperation is one of the most often performed emergency operations in neurosurgery with many unknowns. 
Aim: To study the incidence of VP shunt reoperation in adult patients in relation to the challenges of the perioperative nurse in selection and preparation for acute reoperation.
Method: Descriptive statistic analyse from a quality register of cases from shunt register and operation notes in the Hospital of Sweden. 
Result: The risk that patients with a first VP shunt operation get complications and must be reoperated during first sex month is high, the majority of patients who needed acute reoperation of VP shunt was patients with congenital anomaly and NPH. The main complication was infection, and the risk to get infection was highest during the first month efter shunt implantation.The process of the operation and final diagnosis is often different that what was preoperatively planned. 
Conclusion: The handling of instruments and how the borderline room can be used to provide needed instruments in a quick and precise way without introducing risks of bacterial infection should be discussed in department of neurosurgery. Study should be supplied additional quantitative research in VP shunt complication in a bigger study group to make more clear connection between ethiology of hydrocephalus and VP shunt complications.},
  author       = {Halling, Irina},
  keyword      = {perioperative nursing,ventriculo-peritoneal shunt,reoperation},
  language     = {eng},
  note         = {Student Paper},
  title        = {Incidence of reoperation for ventriculo-peritoneal shunt in adult patients in relation to challenges of the perioperative nurse},
  year         = {2017},
}