Journal of neurosurgery
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Journal of neurosurgery · May 2000
Randomized Controlled Trial Comparative Study Clinical TrialEfficacy of the Ghajar Guide revisited: a prospective study.
The goal of this study was to compare the freehand technique of catheter placement using external landmarks with the technique of using the Ghajar Guide for this procedure. The placement of a ventricular catheter can be a lifesaving procedure, and it is commonly performed by all neurosurgeons. Various methods have been described to cannulate the ventricular system, including the modified Friedman tunnel technique in which a soft polymeric tube is inserted through a burr hole. Paramore, et al., have noted that two thirds of noninfectious complications have been related to incorrect positioning of the catheter. ⋯ Successful cannulation was achieved using either technique; however, the catheters placed using the Ghajar Guide were closer to the target.