Ventriculo-peritoneal shunts

Guidance for ventriculostomy - current practice and future directions

Please find below a questionnaire on the use of image guidance or other trajectory-aid to assist ventriculostomy during insertion of ventriculo-peritoneal shunts. After completing the survey please press the 'submit' button. Please note that the 'required fields' need to be completed for the form to be successfully submitted.

Thank you

G Narenthiran
BSc(MedSci) MB ChB MRCSE
Southampton, UK
g_narenthiran@hotmail.com

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1) Which approach for ventriculostomy use prefer when you insert ventriculo-peritoneal shunt: Please select a valid item. Please select an item.

Paediatric ventriculo-peritoneal shunts

2) Frameless stereotaxy: When you insert ventriculo-peritoneal shunts in children for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

3) Frameless stereotaxy: When you insert ventriculo-peritoneal shunts in children with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

4) Ultrasound guidance: When you insert ventriculo-peritoneal shunts in children for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

5) Ultrasound guidance: When you insert ventriculo-peritoneal shunts in children with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

6) Ghajar guide®: When you insert ventriculo-peritoneal shunts in children for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

7) Ghajar guide®: When you insert ventriculo-peritoneal shunts in children with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

8) Endoscopic guidance: When you insert ventriculo-peritoneal shunts in children for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

9) Endoscopic guidance: When you insert ventriculo-peritoneal shunts in children with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

Adult ventriculo-peritoneal shunt

10) Frameless stereotaxy: When you insert ventriculo-peritoneal shunts in adults for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

11) Frameless stereotaxy: When you insert ventriculo-peritoneal shunts in adults with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

12) Ultrasound guidance: When you insert ventriculo-peritoneal shunts in adults for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

13) Ultrasound guidance: When you insert ventriculo-peritoneal shunts in adults with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

14) Ghajar Guide®: When you insert ventriculo-peritoneal shunts in adults for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

15) Ghajar guide®: When you insert ventriculo-peritoneal shunts in adults with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

16) Endoscopic guidance: When you insert ventriculo-peritoneal shunts in adult for hydrocephalus,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

17) Endoscopic guidance: When you insert ventriculo-peritoneal shunts in adult with slit ventricles,

Routinely use it

Do not routinely use it and would not like to use it routinely either

Currently do not routinely use it but would like to use it routinely

Currently do not use it routinely but would like to use in selected cases

18) Which type of guidance would you prefer for ventriculostomy:

1^st preference

2^nd preference

3^rd preference

frameless stereotaxy

ultrasound

Ghajar guide

endoscopic guidance

frameless stereotaxy

ultrasound

Ghajar guide

endoscopic guidance

frameless stereotaxy

ultrasound

Ghajar guide

endoscopic guidance

Your thoughts and comments on inserting ventriculo-peritoneal shunts; do you use different techniques depending on the type of problem? If so, please elaborate.

( * = required field; Ghajar Guide®, Neurodynamics Inc, New York)

Competing interests: None

Acknowledgements: Discussions with and advice from Mr Paul Grundy MD FRCS(SN), Mr J Duffill FRCS(SN) and Mr O Sparrow FRCS have formed the basis for the design of this questionnaire.