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Periprocedural Considerations for Patients with Gastric Electrical Stimulators
Weston Case Nadherny1, Brooke Anderson1, Alaa Abd-Elsayed1
1Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Summary
Gastric electrical stimulation (GES) devices are increasingly common for managing gastrointestinal issues. Anesthesia staff must consider GES device specifics for safe periprocedural care.
Area of Science:
- Gastroenterology
- Biomedical Engineering
- Anesthesiology
Background:
- Gastric electrical stimulation (GES) modulates gastric activity using neurostimulation.
- High-frequency GES is common, treating gastroparesis, obesity, and GERD.
Purpose of the Study:
- To review periprocedural care needs for patients with implanted GES devices.
- To inform anesthesia staff about special considerations for these patients.
Main Methods:
- Systematic literature search and review.
- Inclusion of manufacturer information.
Main Results:
- 33 relevant articles identified from 1201 initial results.
- GES technology shows increasing prevalence.
Conclusions:
- Anesthesia planning must account for implanted GES devices.
- Key considerations include anesthetic management, nerve localization, radiation, electrocautery, defibrillation, and MRI compatibility.
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