Technique and protocol for bedside neuroendoscopic lavage for post-hemorrhagic hydrocephalus: technical note

Abstract

Neuroendoscopic lavage (NEL) is a time-limited neurosurgical intervention that removes intraventricular blood in post-hemorrhagic hydrocephalus (PHH). Preterm neonates are medically complex and fragile, often precluding neurosurgical procedures due to concerns such as extubation risk and body temperature instability during even routine clinical care. In addition, transportation to the operating room can be difficult and risky. Given these factors, our institution developed and implemented a bedside technique to facilitate safe and timely NEL in the neonatal intensive care unit for the treatment of PHH.

Keywords: Bedside surgery; Intraventricular hemorrhage; Neuroendoscopic lavage; Post-hemorrhagic hydrocephalus; Prematurity.