Key result
Careful perioperative evaluation and reprogramming of cardiac devices prevents adverse outcomes and inappropriate therapy.
Why the study?
Safe and effective perioperative management of patients with cardiac rhythm management devices requires avoidance of adverse outcomes and appropriate device reprogramming.
Anesthesia practitioners should be familiar with current cardiac rhythm management devices to ensure safe perioperative management and avoid adverse outcomes.
Answers are grounded in this paper and cite their sources.
Emphasizes device-specific perioperative protocols to minimize risks; leaves optimal reprogramming strategies open for prospective validation.
The safe and effective perioperative management of the patient with a cardiac rhythm management device (ie, pacemaker and/or implantable cardioverter defibrillator) is based entirely on the avoidance of adverse outcomes, including damage to the device, the leads, or the site of lead implantation that might prevent the device from functioning as intended. An important management principle is the potential reprogramming of such a device in the perioperative period to avoid transient interruption of device function or the delivery of inappropriate electrophysiological therapy (eg, unnecessary defibrillation or pacing). Given the large numbers of patients worldwide currently implanted with these devices, the anesthesia practitioner should become electively familiar with the current technology. This article describes the current status of cardiac rhythm management devices and discusses recommended perioperative management.
No takes yet. Share an insight, caveat, or question.
Stone et al. (2009) conducted a review in Patients with a cardiac rhythm management device (pacemaker and/or implantable cardioverter defibrillator). Perioperative management and device reprogramming was evaluated. Perioperative management of patients with cardiac rhythm management devices requires careful evaluation and potential reprogramming to avoid adverse outcomes and inappropriate electrophysiological therapy.
Synapse has enriched 10 related papers. Consider them for comparative context: