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

Area of Science:

• Anesthesiology
• Cardiology
• Biomedical Engineering

Background:

• Millions worldwide have cardiac rhythm management devices (pacemakers, implantable cardioverter-defibrillators).
• Perioperative management aims to prevent device damage and ensure proper function.
• Potential for device reprogramming is crucial for avoiding complications.

Purpose of the Study:

• To describe the current status of cardiac rhythm management devices.
• To discuss recommended perioperative management strategies for these patients.

Main Methods:

• Review of current cardiac rhythm management device technology.
• Discussion of perioperative management principles and recommendations.

Main Results:

• Safe management hinges on preventing device, lead, or implantation site damage.
• Reprogramming devices can prevent functional interruptions and inappropriate therapy.
• Anesthesia practitioners need to be familiar with device technology.

Conclusions:

• Understanding cardiac rhythm management devices is essential for anesthesia providers.
• Proactive perioperative management ensures patient safety and device efficacy.
• Familiarity with device technology and reprogramming is key to avoiding adverse events.