Patients with pacemaker or implantable cardioverter-defibrillator

Area of Science:

• Cardiology
• Anesthesiology
• Biomedical Engineering

Background:

• Cardiac implantable electronic devices (CIEDs) are increasingly common in surgical patients.
• Perioperative management of CIEDs requires specialized knowledge beyond typical clinical practice.

Purpose of the Study:

• To outline essential knowledge and systematic approaches for managing patients with CIEDs during the perioperative period.
• To emphasize the importance of adhering to guidelines from professional societies.

Main Methods:

• Review of current recommendations from the American Society of Anesthesiologists and Heart Rhythm Society.
• Emphasis on understanding CIED indications, functions, operations, and limitations.
• Highlighting the necessity of pre-procedure CIED function verification and obtaining specific device prescriptions.

Main Results:

• Clinicians need a foundational understanding of CIEDs, regardless of their expertise level.
• Systematic pre-procedure assessment and management planning are crucial for patient safety.
• Adherence to established guidelines ensures competent care.

Conclusions:

• Effective perioperative management of CIED patients relies on comprehensive knowledge and robust systems.
• Safe and efficient care is achieved through diligent preparation and adherence to best practices.