Current perioperative management of the patient with a cardiac rhythm management device

Marc E. Stone, Andrey Apinis

Research output: Contribution to journalReview article

27 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)31-43
Number of pages13
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume13
Issue number1
DOIs
StatePublished - Mar 1 2009

Keywords

  • Anesthesia
  • Cardiac rhythm management device
  • Heart failure
  • ICD
  • Implantable cardioverter defibrillator
  • Pacemaker
  • Perioperative management
  • Sudden cardiac death
  • Ventricular fibrillation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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