- •Stuart et al. recently published a systematic review and meta-analysis on freehand EVD placement, a topic that has been extensively researched in our lab.
- •While certain results obtained by Stuart et al. were aligned with the results of our analysis, we feel their search of the literature was incomplete, as were the conducted analyses.
- •Stuart et al. ultimately concluded that while freehand EVD placement may not be an optimal placement technique for these devices, there is insufficient evidence to support guidance/image-assisted placement as the new standard of care.
- •Our overall interpretation of the literature, along with additional analyses carried out by our group that were not conducted by Stuart et al., have led us to a different conclusion: there is indeed sufficient evidence to support a shift in the standard of care for bedside EVD placement from freehand to guidance/image assisted.
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- Systematic review and meta-analysis of external ventricular drain placement accuracy and narrative review of guidance devices.J Clin Neurosci. 2021; 94: 140-151
- Frameless neuronavigation with computer vision and real-time tracking for bedside external ventricular drain placement: a cadaveric study.J Neurosurg. 2021; : 1-10