|
|
| (21 intermediate revisions by 4 users not shown) |
| Line 1: |
Line 1: |
| == [[Insulin infusion device complication]] == | | ==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<ref>Richardson T, Kerr D. Skin-Related Complications of Insulin Therapy: Epidemiology and Emerging Management Strategies. Am J Clin Dermatol, 2003; 4 (10): 661-667</ref>
| | *[[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 complication]]== | | ==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:
| |
| #Respiratory depression from medication overdose
| |
| #Infection
| |
| | |
| *The device is not removed in an overdose but should be turned off.
| |
| *Insertion of a 22-guage needle into the pump reservoir can remove all medication in case device cannot be turned off
| |
| *Consider naloxone to reverse effects taking into account patients chronicity of treatment if they withdrawal
| |
| | |
| ==[[Vagal nerve stimulator complication]]==
| |
| *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 complication]]==
| |
| *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 stimulator complication]]==
| |
| *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 pacemaker complication]]==
| |
| * Inserted into the gastric musculature for gastroparesis management
| |
| Complications
| |
| #Perforation
| |
| #Infection
| |
| #Lead Migration
| |
|
| |
|
| ==[[Phrenic nerve/diaphragmatic stimulators complication]]== | | ==External Links== |
| *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)
| |
| | |
| ==See Also==
| |
| *[[Tracheostomy complications]]
| |
| *[[Pacemaker complication]]
| |
|
| |
|
| ==References== | | ==References== |
| <references/> | | <references/> |
|
| |
|
| [[Category:Surg]] | | [[Category:Surgery]] |
