Clinical Pathway for Evaluation/Treatment of Children with Suspected Ventricular Shunt Obstruction or Infection
Patient with Suspected Ventricular Shunt
Obstruction or Infection
Obstruction or Infection
Adult Patient
- Complete MSE if not eligible for admission
- 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
Antibiotic Recommendations
for Suspected Shunt Infection
Posted: July 2014
Revised: 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
Revised: 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
Evidence
- Reduced Radiation in Children Presenting to the ED With Suspected Ventricular Shunt Complication
- 2017 Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis
- Diagnostic Accuracy of Non-Invasive Thermal Evaluation of Ventriculoperitoneal Shunt Flow in Shunt Malfunction