Key result
A combined guidance approach using ultrasound and low-current nerve stimulation is recommended for peripheral nerve blockade in patients with permanent cardiac pacemakers to avoid electromagnetic interference.
Why the study?
Does a combined ultrasound and low-current nerve stimulation approach prevent pacemaker malfunction in patients with permanent cardiac pacemakers undergoing peripheral nerve blockade?
Population
Patients with permanent cardiac pacemakers (PPMs) undergoing peripheral nerve blockade
Design
Review
Authors
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Supports combined guidance for nerve blocks in pacemaker patients; leaves open need for prospective validation before practice change.
Does a combined ultrasound and low-current nerve stimulation approach prevent pacemaker malfunction in patients with permanent cardiac pacemakers undergoing peripheral nerve blockade?
Due to the risk of electromagnetic interference, ultrasound combined with low-current nerve stimulation is recommended for peripheral nerve blockade in patients with permanent pacemakers.
Manickam et al. (2009) conducted a review in Patients with permanent cardiac pacemakers requiring peripheral nerve blockade. Combined guidance approach using ultrasound and low-current nerve stimulation was evaluated. A combined guidance approach using ultrasound and low-current nerve stimulation is recommended for peripheral nerve blockade in patients with permanent cardiac pacemakers to avoid electromagnetic interference.
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