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Related Concept Videos

Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Myocarditis III: Medical Management01:14

Myocarditis III: Medical Management

Myocarditis: Comprehensive Medical ManagementMyocarditis, the heart muscle inflammation, requires a comprehensive medical management strategy that addresses the underlying cause, provides supportive care, manages symptoms, and reduces cardiac workload.Infections and Autoimmune CausesAdminister appropriate antimicrobial therapy when an infectious agent causes myocarditis. For instance, penicillin treats infections caused by Group A Streptococcus. In cases where autoimmune processes are...
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac muscle...

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Related Experiment Video

Updated: Jun 2, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
12:45

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Infected internal pulse generator: Treatment without removal.

Marios S Themistocleous1, Efstathios J Boviatsis, Pantelis Stathis

  • 1Department of Neurosurgery, University of Athens Medical School, "Evangelismos" Hospital, Athens Greece.

Surgical Neurology International
|April 9, 2011
PubMed
Summary

Deep brain stimulation (DBS) device infections in Parkinson's patients can be treated without removing the internal pulse generator (IPG). This approach avoids device removal, reducing patient morbidity and healthcare costs.

Keywords:
Deep brain stimulationParkinson's diseaseinfectioninternal pulse generator

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Area of Science:

  • Neurological Surgery
  • Infectious Disease Management

Background:

  • Deep brain stimulation (DBS) is a treatment for advanced Parkinson's disease (PD).
  • Infection of the internal pulse generator (IPG) is a rare but serious complication of DBS.
  • Typically, IPG removal is necessary for infection, even with antibiotic treatment.

Observation:

  • Two patients with advanced PD developed IPG infection and skin breakdown after DBS surgery.
  • Treatment involved antibiotics, surgical wound revision, intraoperative IPG disinfection, and pocket relocation.

Findings:

  • Infection was eradicated in both patients without requiring IPG removal.
  • Continuous DBS therapy was maintained throughout the treatment period.

Implications:

  • Salvaging DBS IPGs in select superficial infection cases is feasible.
  • Avoiding IPG removal can decrease patient morbidity, hospital stay duration, and healthcare expenses.
  • This strategy offers a viable alternative to device explantation in specific infection scenarios.