Clinical Pathway for Evaluation/Treatment of Children with Suspected Ventricular Shunt Obstruction or Infection

Patient with Suspected Ventricular Shunt
Obstruction or Infection
Adult Patient
  • Transfer to HUP
Critical ICP Management
  • Airway Management
  • IV Access, NPO
  • 3% saline (5 mL/kg IV bolus)
  • Consider Tapping Shunt
  • Brain CT for Hydro
Imaging Recommendations
  • Brain CT for Hydro
  • Indications for Shunt
  • Radiographs
  • Abdominal Ultrasound
Posted: July 2014
Revised: March 2016, January 2018 (Reviewed), May 2018, March 2020, October 2020
Authors: G. Heuer, MD; R. Marchese, MD; J. Zorc, MD; E. Schwartz, MD; C. Harris, MD;
T. Metjian, PharmD;  J. Gerber, MD, PhD,  L. Bell, MD, J. Huh, MD; K. Laycock, MD