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Published on: December 11, 2017
[General surgical procedures in patients with electrical pacemaker]
Khirurgiia
|December 18, 2010
Summary
Implanted electric pacemakers (EP) can be inhibited during non-cardiological surgery. Careful preoperative assessment and intraoperative monitoring are crucial for patients with pacemakers undergoing surgery.
Area of Science:
- Cardiology
- Medical Devices
- Surgical Procedures
Background:
- Implanted electric pacemakers (EP) are common in patients undergoing surgery.
- Non-cardiological surgeries pose potential risks to pacemaker function.
Purpose of the Study:
- To assess the impact of non-cardiological surgery on implanted electric pacemaker (EP) function.
- To identify potential complications and recommend management strategies.
Main Methods:
- Evaluated pacemaker function in 99 patients (mean age 62.4±9.6 years) during non-cardiological surgery.
- Monitored for inhibition of EP stimuli, ineffective stimulation, and changes in stimulation regimen.
- Recorded episodes of myopotential inhibition.
Main Results:
- 9.1% of patients experienced inhibition of EP stimuli.
- 2% had short episodes of ineffective stimulation with synchronization disturbance.
- Electrosurgery caused changes in stimulation regimen in 2% of patients.
- Myopotential inhibition occurred in 4 cases, unrelated to electrocoagulation.
Conclusions:
- Non-cardiological surgery can affect implanted electric pacemaker (EP) function.
- Thorough preoperative evaluation, intraoperative ECG monitoring, and judicious use of monopolar electrocoagulation are recommended.
- These measures can mitigate risks and ensure patient safety.
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