Neuroanesthesia & neurocritical care

Prompt closure versus gradual weaning of external ventricular drainage for hydrocephalus following aneurysmal subarachnoid haemorrhage: Protocol for the DRAIN randomised clinical trial

Acta Anaesthesiol ScandPublished Protocol for a randomised clinical trial

Study context

Population
Patients with aneurysmal subarachnoid haemorrhage (aSAH) and hydrocephalus treated with external ventricular drain (EVD)122 planned per group
Planned comparison
Gradual weaning vs prompt closure of EVD
Primary endpoint
Composite of:
  • VP-shunt implantation
  • All-cause mortality
  • Ventriculostomy-related infection
Follow-up
6 months after ictus
Methodological detailsinternational, multi-centre, parallel group, blinded outcome assessment, Sample size: event proportion 80% in gradual weaning group, relative risk reduction 20%, type I error 5%, power 80%; 122 patients per group
  • International
  • Multi-centre
  • Parallel group
  • Blinded outcome assessment
  • Sample size: event proportion 80% in gradual weaning group, relative risk reduction 20%, type I error 5%, power 80%; 122 patients per group

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Prompt closure versus gradual weaning of external ventricular drainage for hydrocephalus following aneurysmal subarachnoid haemorrhage: Protocol for the DRAIN randomised clinical trial. Acta Anaesthesiol Scand. Published 10 May 2023. doi:10.1111/aas.14263

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