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Most neurosurgical units exclude patients for shunt based on comorbidity, yet our data indicates our group of patients to be a complex group who we do not exclude based on comorbidity where they have demonstrated a good response to simulated shunt through extended lumbar drainage protocol.
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Modifications of the Masserman technique applied sophisticated infusion and drainage protocols, which recorded and controlled the CSF pressure during the measurement period (see for example [ 51]).
Eight of the nine patients had biliary tract infection and six of them had pre-existing biliary tract obstruction that required biliary drainage during the protocol treatment.
2) Hands-on Check-in/tissue warming, etc. (1 min) 3) Lymph Drainage using recommended protocol (2 min) 4) Neck work [defined as skull thru upper back/chest, C7/T1, clavicles to 2nd/3rd ribs & sternum – and everywhere the neck muscles insert].
The usefulness of the COPS protocol (CSF drainage to maintain a pressure of less than 5 mmHg without limit under CSF drain status/oxygen delivery/patient status) has been reported after delayed neurologic deficit in thoracoabdominal aortic aneurysm repair [10].
Standard antibiotic prophylaxes are administered at the start of each biliary drainage procedure, according to local protocol as described in an additional file [see Additional file 1].
All patients were followed with a predefined protocol, including antral drainage in all patients with abnormal or equivocal results on their SXR.
The program was standardized, following the same protocol for lymphatic drainage to the anterior trunk, posterior trunk, and affected arm, always mowing fluid from the affected side toward the unimpaired side, after lymphatic drainage and before either the short-stretch bandages or the Kinesiology Taping application.
The presence of intraventricular hemorrhage has not been an exclusion criterion, since we have a standardized protocol, including external ventricular drainage, intraventricular clot lysis and the use of lumbar drainage.
Prophylactic antibiotics protocol among participating centers in DRAINAGE trial.
37 If axillary web syndrome was diagnosed the physiotherapy protocol extended the manual lymph drainage technique to axilla and to proximal ipsilateral arm and included specific thumb manual lymph drainage on the characteristics taut cords, to make them gradually more flexible.
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