A practice advisory for the perioperative management of patients with cardiac implantable electronic devices published in Anesthesiology recommended providers evaluate whether a patient has a CIED, determine what type of device the CIED is, determine whether a patient is CIED-dependent for antibradycardia pacing function and determine device function prior to surgery.
According to the report, determining whether a patient has a CIED should be based on a focused history including medical records review, patient interview and review of available chest x-rays, electrocardiograms and rhythm strip information, as well as a focused physical exam.
Defining the type of device is accomplished by obtaining the manufacturer's identification card from the patient or other source and ordering chest x-rays if no other data is available.
CIED dependence for pacemaking function can be determined through a verbal history or indication in the medical record that a patient has experienced a bradyarrhythmia that has caused a syncope. Dependence can also be determined through a history of successful atrioventricular nodal ablation resulting in CIED placement.
CIED function is ideally assessed through a comprehensive evaluation of the device.
Read the Anesthesiology abstract on CIED patients.
Read more on anesthesia:
-Optical Laryngoscopes Beat Out Rigid for Novices Performing Tracheal Intubation
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-4 Thoughts on the Future of Out-of-Network in New Jersey
According to the report, determining whether a patient has a CIED should be based on a focused history including medical records review, patient interview and review of available chest x-rays, electrocardiograms and rhythm strip information, as well as a focused physical exam.
Defining the type of device is accomplished by obtaining the manufacturer's identification card from the patient or other source and ordering chest x-rays if no other data is available.
CIED dependence for pacemaking function can be determined through a verbal history or indication in the medical record that a patient has experienced a bradyarrhythmia that has caused a syncope. Dependence can also be determined through a history of successful atrioventricular nodal ablation resulting in CIED placement.
CIED function is ideally assessed through a comprehensive evaluation of the device.
Read the Anesthesiology abstract on CIED patients.
Read more on anesthesia:
-Optical Laryngoscopes Beat Out Rigid for Novices Performing Tracheal Intubation
-Physicians Criticize Hospira's Decision to Halt Anesthetic Production
-4 Thoughts on the Future of Out-of-Network in New Jersey