Technology-Dependent Children

Emerg Med Clin North Am. 2021 Aug;39(3):641-660. doi: 10.1016/j.emc.2021.04.014. Epub 2021 Jun 9.

Abstract

There are a growing number of medically complex children with implanted devices. Emergency physicians with a basic knowledge of these devices can troubleshoot and fix many of the issues that may arise. Recognition of malfunction of these devices can reduce morbidity and mortality among this special population. In this article, we review common issues that may arise in children with gastrostomy tubes, central nervous system shunts, cochlear implants, and vagal nerve stimulators.

Keywords: Cochlear implant; Feeding tube; Gastrostomy tube; Technology dependent; Vagal nerve stimulator; Ventriculoperitoneal shunt.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Brain / diagnostic imaging
  • Cerebrospinal Fluid Shunts / adverse effects*
  • Child
  • Cochlear Implants / adverse effects*
  • Emergency Service, Hospital
  • Enteral Nutrition / adverse effects*
  • Equipment Failure
  • Gastrostomy / adverse effects
  • Humans
  • Infections / diagnosis
  • Infections / etiology
  • Medical History Taking
  • Pediatric Emergency Medicine
  • Physical Examination
  • Vagus Nerve Stimulation / adverse effects*
  • Vagus Nerve Stimulation / instrumentation