| ID | 421 |
|---|---|
| Name | SUBDURAL TAP |
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| Management | 1. The anterior 2/3 of the scalp are shaved and sterile precautions are observed. 2. The patiet is restrained. 3. Insert a short 20 or 21 gauge needle with a very short bevel for a distance of 0.2-0.5cm at the extreme lateral corner of the fontanelle or farther and through the suture line, depending on the size of the fontanelle. Normally no more than a few drops (up to 1ml) of clear fluid are obtained. If a subdural hematoma is present, the fluid will be grossly xanthochromic or bloody and more abundant. 4. Repeat the procedure on the other side. Do not remove more that 10-15ml of fluid at any one time. 5. Remove the needle, exert firm pressure for a few minutes, & apply sterile dressing. 6. A subdural tap is preferable to be done by the neurosurgeon. |
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