A multidisciplinary approach involving proceduralists, anaesthetists, cardiologists, and allied health professionals is recommended for the safe perioperative management of patients with CIEDs to prevent electromagnetic interference-induced device malfunction.
May inform Singapore-specific CIED perioperative protocols; leaves open prospective outcome validation.
With the increased use of cardiac implantable electronic devices (CIEDs), it is increasingly important to recognise the unique challenges involved in the management of patients with CIEDs who are undergoing surgery. Practice advisories and consensus statements have been issued by the American Society of Anesthesiologists and the Heart Rhythm Society, advocating a multidisciplinary approach. This review discusses and presents a practical approach to perioperative CIED management in the Singapore context.
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Chia et al. (2015) studied this question.
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