Objective To retrieve, evaluate, and summarize evidence on the prevention and management of intracranial infections related to lumbar drainage (LD), in order to provide scientific references for clinical practice and decision-making. Methods The literature on the prevention and management of LD-related intracranial infections in LD-related websites and databases was systematically searched, with a search period from the establishment of databases to June 30, 2024. The included literature was evaluated for quality and integrated into evidence. Results A total of 9 articles were included, including 3 guidelines, 1 evidence summary, 1 expert consensus, 1 systematic review, and 3 original studies. A total of 30 pieces of evidence were formed, covering six aspects: risk management, catheter placement, catheter maintenance, extubation, diagnosis and treatment of intracranial infections, education and training. ConclusionsThe prevention and management of LD-related intracranial infections involve multiple pieces of evidence, and medical staff should selectively apply the best evidence based on patient and clinical conditions to reduce the incidence of intracranial infections and improve medical quality.
Perioperative stroke is a severe complication with poor prognosis in patients undergoing surgical treatment for lung cancer. It not only significantly increases postoperative mortality risk but also frequently leads to permanent neurological deficits, severely impairing patients' quality of life and adversely affecting long-term outcomes. With the continuous increase in the volume of lung cancer surgeries and the aggravation of population aging, the prevention and management of perioperative stroke have become an urgent clinical challenge in the field of thoracic surgery. However, there is currently a lack of systematic and standardized guidance documents specifically addressing the prevention and management of perioperative stroke in lung cancer surgery in China. To address this gap, experts in relevant fields in China developed this consensus based on the latest evidence-based medical evidence, systematically searching authoritative domestic and international databases, including high-quality clinical studies, guidelines, and systematic review published in the past decade, and incorporating the clinical characteristics of Chinese patients undergoing lung cancer surgery. The Delphi method was adopted to finalize the recommendations. This consensus has formulated 18 recommendations based on research related to perioperative stroke in lung cancer surgery, aiming to provide clinicians with standardized prevention and management strategies, thereby reducing the incidence of perioperative stroke and improving the prognosis and quality of life of affected patients.