Clinical Practice Guideline: Lumbar Drain Designation and Care in Patients Undergoing Thoracic Endovascular Aortic Repair (TEVAR) and Open Thoracoabdominal Aneurysm (TAA) Procedures

Brief Description:  This guideline applies only to patients undergoing TEVAR and TAA procedures. These procedures involve disruption in the normal flow of blood supply to the spinal cord. This flow disruption can lead to neurological deficits. Placement of a cerebrospinal fluid drainage management system lends to increased perfusion pressure and decreases the risk of neurological deficits.

Key Points
•MRI compatible drains are the only lumbar drains placed at OSUWMC.
•Patient selection and documentation of post-operative lumbar drain placement should be made in the pre-operative period.
•Any change in neurovascular exam warrants immediate notification to the attending
•A lumbar drain is a small, flexible, soft plastic tube placed in the lumbar spine within the arachnoid space used to drain and manage the cerebrospinal fluid.
•Management and leveling of the lumbar drain is critical to reduce adverse outcomes.