Technology-Dependent Children
Alamelu Natesan1, Solomon Behar2
1Pediatrics, UCLA David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: https://twitter.com/amlun.
Insights
Medically complex children often have implanted devices. Emergency physicians can manage common device issues, improving outcomes and reducing risks for these pediatric patients.
Area of Science:
- Pediatric Emergency Medicine
- Biomedical Engineering
- Medical Device Technology
Background:
- Increasing prevalence of medically complex children with implanted devices.
- Need for emergency physicians to understand and manage these devices.
- Potential for improved patient outcomes with timely intervention.
Purpose of the Study:
- To review common issues encountered with implanted devices in children.
- To equip emergency physicians with knowledge for troubleshooting device malfunctions.
- To reduce morbidity and mortality in pediatric patients with implanted devices.
Main Methods:
- Review of common pediatric implanted devices: gastrostomy tubes, CNS shunts, cochlear implants, vagal nerve stimulators.
- Identification of frequent malfunction scenarios and troubleshooting strategies.
- Educational review for emergency medicine practitioners.
Main Results:
- Common issues identified for each device type.
- Practical guidance for emergency physicians on managing device-related problems.
- Emphasis on early recognition of malfunction.
Conclusions:
- Basic knowledge of implanted devices is crucial for emergency physicians.
- Effective troubleshooting can mitigate serious complications.
- Improved physician preparedness can enhance care for medically complex children.
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.
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