Implantable Devices: Assessment and Perioperative Management

Area of Science:

• Medical technology
• Anesthesiology
• Biomedical engineering

Background:

• The 21st century is characterized by technological advancements, significantly impacting medicine.
• Implantable medical devices are increasingly common in clinical practice.
• Anesthesiologists frequently encounter patients with various implanted devices.

Purpose of the Study:

• To provide anesthesiologists with essential knowledge regarding implantable devices.
• To highlight the importance of understanding device types, comorbidities, and perioperative risks.
• To outline principles for the safe management of patients with implantable devices.

Main Methods:

• Review of current literature on implantable medical devices.
• Detailed discussion of cardiac implantable electronic devices (CIEDs).
• Brief overview of neurostimulators and other implantable technologies.

Main Results:

• Implantable devices span a wide range of medical applications, affecting numerous organs.
• Cardiac devices are a significant focus, with other devices also considered.
• Assessment and management principles are broadly applicable across different device types.

Conclusions:

• A thorough understanding of implantable devices is crucial for anesthesiologists.
• Knowledge of associated risks and comorbidities is vital for patient safety.
• Standardized principles for assessment and management ensure effective perioperative care for these patients.