Chinese expert consensus on the management of hydraulic- coupled intracranial pressure monitoring via external ventricular drainage

doi:10.3969/j.issn.1672-6731.2025.10.002

Abstract

Abstract:

Intracranial pressure (ICP) monitoring serves as a critical component in the management of neurocritical care patients. Hydraulic-coupled intracranial pressure monitoring via external ventricular drainage (EVD-ICP) monitoring offers a clinically practical approach that enables both dynamic physiological assessment and therapeutic intervention, and has gained widespread adoption. However, the significant variability persists across healthcare institutions regarding the procedural standardization and the implementation of systematic management protocols. Building upon evidence-based medical principles and multidisciplinary expert consensus, this "Chinese expert consensus on the management of hydraulic-coupled intracranial pressure monitoring via external ventricular drainage" synthesizes key aspects of EVD-ICP monitoring, including clinical indications, procedural workflows, trouble shooting strategies, monitoring duration, complication prevention and management. The expert consensus aims to standard the technique and management of EVD-ICP monitoring, enhance diagnostic and therapeutic outcomes in the neurocritical care patients, and promote the standardized, precise and efficient application of this technology across clinical settings.

Key words: Intracranial pressure, Drainage, Cerebral ventricles, Cerebrospinal fluid, Diagnostic and treatment guideline, China

摘要：

颅内压监测是神经重症患者管理过程的关键环节，脑室外引流液压耦合型颅内压监测（EVD-ICP监测）简便易行，兼具动态评估与治疗干预的双重功能，在临床实践中得以广泛应用。然而目前该项技术在各级医疗中心的操作技术不统一，缺乏标准化管理流程。基于循证医学证据与多学科专家经验，针对EVD-ICP监测的适应证、操作流程、故障处理、监测时程，以及并发症预防与处理等核心要点进行汇总，撰写《脑室外引流液压耦合型颅内压监测管理规范中国专家共识》，旨在规范EVD-ICP监测操作技术和管理，助力提升神经重症的诊疗水平，推动该项技术的规范、精准和高效应用。

关键词: 颅内压, 引流术, 脑室, 脑脊髓液, 诊疗指南, 中国

Chinese Neurosurgical Intensive Care Management Collaborative Group, Minimally Invasive and Non-Invasive Professional Committee of Chinese Research Hospital Association, Neurosurgery Branch of the He'nan Medical Doctor Association, Neurosurgery Professional Committee of He'nan Medical Science Popularization Society. Chinese expert consensus on the management of hydraulic- coupled intracranial pressure monitoring via external ventricular drainage[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2025, 25(10): 874-884.

中国神经外科重症管理协作组, 中国研究型医院学会微无创诊疗专业委员会, 河南省医师协会神经外科分会, 河南省医学科普学会神经外科专业委员会. 脑室外引流液压耦合型颅内压监测管理规范中国专家共识[J]. 中国现代神经疾病杂志, 2025, 25(10): 874-884.

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URL: https://journal11.magtechjournal.com/cjcnn/EN/10.3969/j.issn.1672-6731.2025.10.002

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