UNASSIGNED: We present 2 cases of unfortunate sudden deaths following uneventful cranioplasty procedures, both of which were associated with the use of a suction drain. We also review the literature focusing on the benefits and risks in the use of suction drains, and discuss pathophysiological mechanisms underlying sudden death associated with their use.
UNASSIGNED: There is no substantial evidence to support the use of suction drains in neurosurgery. Furthermore, they have been associated with significant complications, including risk to life. Our experience and literature review suggest that the risk of sudden death is disproportionately higher following cranioplasty. We do not recommend the use of suction drains in cranial neurosurgery, and we strongly recommend against their use in cranioplasty procedures.
■我们介绍了2例颅骨修补术后不幸猝死的病例,两者都与吸排有关。我们还回顾了文献,重点是使用吸入排水沟的好处和风险。并讨论与使用它们相关的猝死的病理生理机制。
■没有实质性证据支持在神经外科手术中使用抽吸引流管。此外,它们与严重的并发症有关,包括生命危险。我们的经验和文献综述表明,颅骨成形术后猝死的风险更高。我们不建议在颅神经外科手术中使用抽吸引流管,我们强烈建议不要在颅骨修补术中使用它们。