EVD Bundle (Placement)

Elements of EVD infection control protocol for EVD placement.

  1. wide clipping of head – enough to fit a medium-sized Tegaderm
  2. apply chlorhexidine-alcohol – first skin prep
  3. full draping followed by second chlorhexidine-alcohol skin preparation with the surgeon wearing gown, gloves, cap, and mask and full barrier precautions used throughout
  4. minocycline/rifampin antibiotic-impregnated EVD catheter tunneled 3 to 5 cm; secured with curvilinear line of surgical staples
  5. apply benzoin tincture to skin broadly and fully dry
  6. apply biopatch over exit site (not wrapping around catheter)
  7. apply medium-sized transparent dressing film
  8. secure borders of transparent dressing film and catheter with adhesive strips



<click here for MS Powerpoint File>



Flint, Alexander C. et al. “A Simple Protocol To Prevent External Ventricular Drain Infections”. Neurosurgery 72.6 (2013): 993-999. Web.


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