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Radiofrequency Cautery: A Safe Option for Patients With Indwelling Devices
Andrew M Alfred1, Aaron M Kessler1, Dena Danji1
1Anesthesiology, West Virginia University School of Medicine, Morgantown, USA.
Patients with non-cardiac implantable electrical devices (NCIEDs) undergoing surgery require careful management. Using PlasmaBlade cautery during cardiac surgery successfully avoided thermal injury and device malfunction in a patient with a spinal cord stimulator and deep brain stimulator.
Area of Science:
- Neurosurgery and Cardiovascular Surgery
- Biomedical Engineering
- Anesthesiology
Background:
- The increasing prevalence of non-cardiac implantable electrical devices (NCIEDs), such as deep brain stimulators (DBS) and spinal cord stimulators (SCS), poses significant perioperative challenges.
- Potential complications include direct thermal injury to surrounding neural tissues and destructive interactions between electrocautery and the implanted devices, risking neurological function and pain control.
- Managing patients with both NCIEDs and the need for procedures like coronary artery bypass grafting (CABG) requires careful consideration of surgical techniques.
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