What question did this study set out to answer?

To provide updated, evidence- and consensus-based recommendations for the safe perioperative management of patients with permanently implanted pacemakers and cardioverter-defibrillators.

January 19, 2011AnesthesiologyOpen Access

Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators

Q: What is the clinical evidence from this study?

Study design: Review. Population: Patients with cardiac implantable electronic devices (pacemakers and ICDs). Intervention: Perioperative management strategies.

View Full Paper

Ask AI

Bookmark

To provide updated, evidence- and consensus-based recommendations for the safe perioperative management of patients with permanently implanted pacemakers and cardioverter-defibrillators.
The American Society of Anesthesiologists (ASA) Task Force updated systematic literature searches across peer-reviewed publications from 2004 through 2009 alongside earlier evidence.
Evidence from randomized trials, observational studies, and case reports was integrated with expert consensus surveys administered to active ASA and Heart Rhythm Society members.
Recommendations emphasize focused preoperative identification of device type, pacing dependency, and current functional status before initiating anesthesia care.
Electromagnetic interference risks from electrocautery or radiofrequency ablation require mitigation via bipolar cautery, asynchronous pacing reprogramming, or temporary suspension of antitachyarrhythmia functions.
Continuous electrocardiographic and peripheral pulse monitoring is advised throughout the perioperative period, followed by postoperative device interrogation and restoration of baseline programming.

Structured PICO

Population

Patients with a preexisting, permanently implanted cardiac implantable electronic device (CIED) for treatment of bradyarrhythmia, tachyarrhythmia, or heart failure undergoing inpatient or outpatient procedures.

Intervention

Perioperative management strategies, including focused preoperative evaluation of the CIED.

Outcome

Safe and effective perioperative management and reduction of adverse outcomes (e.g., device damage, pacing failure, inappropriate shocks, hypotension, arrhythmias).

This updated practice advisory provides consensus-based recommendations for the perioperative management of patients with pacemakers and ICDs to minimize adverse clinical and device-related outcomes.

Limitations

Practice advisories are not supported by scientific literature to the same degree as standards or guidelines because of the lack of sufficient numbers of adequately controlled studies.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Guides perioperative CIED management to minimize risks; extends prior advisories with integrated literature and consensus.

Cite This Study

A 2011 study conducted a review in Patients with cardiac implantable electronic devices (pacemakers and ICDs). Perioperative management strategies was evaluated. This updated practice advisory provides consensus- and literature-based recommendations for the perioperative management of patients with pacemakers and implantable cardioverter-defibrillators.

synapsesocial.com/papers/6a8eb9ffaf8fd2d347938a76 https://doi.org/10.1097/aln.0b013e3181fbe7f6

Topics

Cardiac device therapy

View Full Paper

Ask AI

Bookmark

Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

Practice Advisory for the Perioperative Management of Patients with Cardiac Implantable Electronic Devices: Pacemakers and Implantable Cardioverter-Defibrillators

Key Points

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider