Vp Shunt Anesthesia
Vp shunt procedure doctors typically perform the placement of a vp shunt while a patient is under general anesthesia.
Vp shunt anesthesia. Ventriculoperitoneal shunt introduction c erebrospinal fluid csf ascites is a very rare complication of ventriculoperitoneal vp shunt insertion and occurs as a result of inability of peritoneum. Congenital hydrocephalus acquired hydrocephalus non communicating hydrocephalus and chronic raised icp may be managed long term by placement of a shunt to divert csf from the third ventricle via a one way valve into the patient s peritoneum ventriculoperitoneal vp shunt right atrium ventriculoatrial va shunt or pleura. The treatment of choice is conversion of the.
Two children who underwent vp shunting for hydrocephalus presented with ascites 3 1 2 years and 4 months respectively after the shunt was placed. Clinical assessment for evidence of icp elevation will normally be sufficient and invasive icp monitoring is usually unnecessary. Successful management of patients undergoing vp shunt insertion is dependent on understanding the relationship between icp and cpp and how this is affected by any disease process anaesthetic agents and surgery.
Anesthetic consideration for ventriculoperitoneal shunt placement or revision requires assessment of the function of the pre existing ventriculoperitoneal shunt table i and review of the patient s co existing diseases medications intravascular volume status anaesthetic history and physical examination. The cranial contents consist of brain tissue 80 blood 10 and cerebrospinal fluid 10. A 37 yr old gi p0 woman with a vp shunt and third ventriculostomy was assessed in the obstetrical anesthesia clinic at 36 wk.
You ll be asleep during the surgery and won t experience pain.