{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,4,16]],"date-time":"2023-04-16T04:13:45Z","timestamp":1681618425786},"reference-count":4,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:p>Irrigation during intraventricular endoscopic surgery is critical for visualization, with normal intracranial pressure maintained by balancing fluid ingress and egress. Although irrigation is typically achieved through manual manipulation of inexact stopcocks, the authors have developed a rate-controlled, foot pedal\u2013activated system for precise intraventricular irrigation by using a standard irrigating bipolar electrocautery machine.<\/jats:p><jats:p>This study is a retrospective review of patients who underwent endoscopic intraventricular surgery between January 1, 2018, and September 25, 2019, in which this irrigation system was used. Important components of this system include a bipolar module irrigation regulator that is set to a desired rate, a secure connection of the bipolar irrigation tubing to the endoscope, and one or more open egress ports on the endoscope for passive fluid drainage. Nineteen consecutive patients were identified on review (average age \u00b1 SD, 4.3 \u00b1 4.1 years). Procedures performed included third ventriculostomies (n = 10); arachnoid\/choroid cyst fenestrations\/resections (n = 3); biopsy\/tumor resection (n = 1); and combined procedures (n = 5). Foot pedal\u2013controlled irrigation provided visualization of all intraventricular structures. A single operator was able to control the endoscope, endoscopic instruments, and irrigation, with assistance as indicated for more complex maneuvers. There were no perioperative complications. Because this setup is easily constructed from a standard irrigating bipolar machine, delivers precise irrigation flow rates, and facilitates a single-surgeon bimanual technique, these data support the utility of foot-controlled irrigation for endoscopic intraventricular surgery.<\/jats:p>","DOI":"10.3171\/2019.11.peds19471","type":"journal-article","created":{"date-parts":[[2020,1,31]],"date-time":"2020-01-31T22:01:34Z","timestamp":1580508094000},"page":"434-438","source":"Crossref","is-referenced-by-count":1,"title":["Rate-controlled intraventricular endoscopic irrigation via bipolar foot pedal activation: technical note"],"prefix":"10.3171","volume":"25","author":[{"given":"Reid","family":"Hoshide","sequence":"first","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert C.","family":"Rennert","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos E.","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel R.","family":"Martin","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent J.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gayle","family":"Gyles","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael L.","family":"Levy","sequence":"additional","affiliation":[{"name":"Rady Children\u2019s Hospital of San Diego; and"},{"name":"Department of Neurosurgery, University of California, San Diego, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurosurg Anesthesiol","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/00008506-200001000-00005","article-title":"Anesthetic management of surgical neuroendoscopies: usefulness of monitoring the pressure inside the neuroendoscope","volume":"12","author":"F\u00e0bregas N","year":"2000","unstructured":"F\u00e0bregas N, L\u00f3pez A, Valero R, Carrero E, Caral L, Ferrer E: Anesthetic management of surgical neuroendoscopies: usefulness of monitoring the pressure inside the neuroendoscope. 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Br J Anaesth 94:791\u2013799, 20051580514310.1093\/bja\/aei121"},{"key":"b4","series-title":"Minim Invasive Neurosurg","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1055\/s-2003-42354","article-title":"Cardiovascular changes during endoscopic third ventriculostomy","volume":"46","author":"van Aken J","year":"2003","unstructured":"van Aken J, Struys M, Verplancke T, de Baerdemaeker L, Caemaert J, Mortier E: Cardiovascular changes during endoscopic third ventriculostomy. 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