Medical device complications: Difference between revisions

Latest revision as of 20:35, 3 August 2022

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-== Insulin Infusion Devices ==
+==Types==
-*External pump visible on the abdomen with subcutaneous catheter placed under a dressing nearby
+*[[Bladder/sacral nerve stimulators complications]]
-*Insulin pumps are easily removed by pulling the catheter out from under the dressing removing it from the subcutaneous insertion site
+*[[Clogged feeding tube]]
-Complications:
+*[[Contact lens problems]]
-#Hyper/Hypoglycemia
+*[[Deep brain stimulator complications]]
-# [[DKA]]
+*[[Gastric pacemaker complications]]
-#Local Infection
+*[[G-tube complications]]
+*[[Implantable Cardioverter-Defibrillator complication]]
+*[[Insulin infusion device complications]]
+*[[Intrathecal drug delivery system complications]]
+*[[Intrauterine device problems]]
+*[[Lap band complications]]
+*[[Left ventricular assist device complications]]
+*[[Pacemaker complication]]
+*[[Phrenic nerve/diaphragmatic stimulators complications]]
+*[[Tracheostomy complications]]
+*[[Vagal nerve stimulator complications]]
+*[[Ventriculoperitoneal shunt complications]]
-== Intrathecal Drug Delivery Systems ==
+==See Also==
-*used for delivery of short or long acting pain medications into the theca space
-Most common Intrathecal medications
-#Clonidine
-#Bupivacaine
-#Morphine
-#Hydromorphone
-#Fentanyl
-#Baclofen
-#Ziconotide
-Complications:
+==External Links==
-#Respiratory depression from medication overdose
-#Infection
-*The device is not removed in an overdose but should be turned off.
+==References==
-*Insertion of a 22-guage needle into the pump reservoir can remove all medication in case device cannot be turned off
+<references/>
-*Consider naloxone to reverse effects taking into account patients chronicity of treatment if they withdrawal
-==Vagal Nerve Stimulators==
+[[Category:Surgery]]
-*Used to treat refractory epilepsy
-*Implanted in the chest with a single lead stimulating the left vagus nerve.  It does not stimulate the right vagus nerve which innervates the heart
-Complications:
-#Hoarseness
-#Shortness of Breath
-#Pharyngitis
-#Infection
-#Parasthesias
-#Insomnia
-#Excessive Pain
-==Bladder/Sacral Nerve Stimulators==
-*Single wire system inserted into the S3 sacral foramen to stimulate sacral nerve and treat urinary incontinence
-Complications
-#Infection (early or late complication)
-#Lead Migration
-#Stimulator misfiring
-==Deep Brain Stimulators==
-*Implanted to treat Parkinson's disease and dystonia.
-*Single lead systems implanted into the thalamus
-Complications
-#Infection (usually early after placement)
-#Over or Under stimulation
-#Lead Migration
-==Gastric Pacemakers==
-* Inserted into the gastric musculature for gastroparesis management
-Complications
-#Perforation
-#Infection
-#Lead Migration
-==Phrenic Nerve/Diaphragmatic Stimulators==
-*Implanted into bilateral phrenic nerves to treat rerspiratory insufficiency from poor diaphragmatic motion
-Complications
-#Pneumothorax (early after implantation)
-#Infection
-#Wire Migration
-#Drive malfunction (causing diaphragmatic paralysis)
-[[Category:Surg]]