Patient with an implantable cardiac electrical stimulation device. What should the anesthesiologist know?
Abstract
Patients with implantable electric stimulation devices are challenging to the anesthesiologist since these cases demand a comprehensive knowledge about how the device operates, the indications for the implant and the implications that must be addressed during the perioperative period . This article is intended to provide the reader with clear and structured information so that the anesthesiologist will be able to safely deal with the situation of a patient with an implantable cardiac stimulation device, who has been programmed for emergent surgery. A search for the scientific evidence available was conducted in Pubmed / Medline, ScienceDirect, OVID, SciELO), for a non-systematic review. The incidence of the use of cardiac electric stimulation devices has been growing. Their operation is increasingly complex, and demands being constantly updated on the knowledge in the area.
References
Aronow WS, Gregoratos G. Management of atrial fibrillation, ventricular arrhythmias and pacemakers in older persons: Permanent pacemakers in older persons. J American Geriatrics Society. 2015;47(9):1125-35. doi: http://www.doi.org/10.1111/j.1532-5415.1999.tb05239.x
Bradshaw PJ, Stobie P, Knuiman MW, et al. Trends in the incidence and prevalence of cardiac pacemaker insertions in an ageing population. Open Heart. 2014;1:e000177. doi: http://www.doi.org/10.1136/openhrt-2014-000177
Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009--a World Society of Arrhythmia's project. Pacing Clin Electrophysiol. 2011;34(8):1013-27. doi: http://www.doi.org/10.1111/j.1540-8159.2011.03150.x
Kremers MS, Hammill SC, Berul CI, et al. The National ICD Registry Report: version 2.1 including leads and pediatrics for years 2010 and 2011. Heart Rhythm. 2013;10(4):e59-65. doi: http://www.doi.org/10.1016/j.hrthm.2013.01.035
Young JB, Abraham WT, Smith AL, et al. Combined cardiac resynchronization and implantable cardioversion defibrillation in advanced chronic heart failure: the MIRACLE ICD Trial. JAMA. 2003;289(20):2685-94. doi: http://www.doi.org/10.1001/jama.289.20.2685
Ministerio de Salud y Protección Social. Análisis de Situación de Salud. Colombia [internet]. 2016 [citado: 2020 oct. 16]. Disponible en: https://www.minsalud.gov.co.
Saldarriaga CI, Garcés JJ, Agudelo A, et al. Impacto clínico de un programa de falla cardiaca. Rev Colomb Cardiol. 2016;23(4):260-4. doi: http://www.doi.org/org/10.1016/j.rccar.2015.06.012
Rosso F, Perafán-Bautista PE, et al. Infección relacionada con los dispositivos cardiovasculares. Rev Colomb Cardiol. 2016;23(6):508-13. doi: http://www.doi.org/10.1016/j.rccar.2016.07.005
American Society of Anesthesiologists. Practice Advisory for the Perioperative Management of patients with cardiac implantable electronic devices: Pacemakers and implantable cardioverter–defibrillators 2020. Anesthesiology. 2020;132(2):225-52. doi: http://www.doi.org/10.1097/ALN.0000000000002821
Bryant HC, Roberts PR, Diprose P. Perioperative management of patients with cardiac implantable electronic devices. BJA Education. 2016;1-9. doi: https://doi.org/10.1093/bjaed/mkw020
Cronin B, Essandoh M. Update on cardiovascular implantable electronic devices for anesthesiologists. J Cardiothoracic Vascular Anesth. 2018;32:1871-84. doi: http://www.doi.org/10.1053/j.jvca.2017.09.007
Tracy CM, Epstein A, et al. ACCF/AHA/HRS Focused Update Incorporated Into the ACCF/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities. JACC. 2012;61(3):e6-75. doi: http://www.doi.org/10.1016/j.jacc.2012.11.007
Schulman PM, Rozner M, et al. The perioperative management of implantable pacemakers and cardioverter-defibrillators. Advances Anesthesia. 2016;34:117-41. doi: http://www.doi.org/10.1016/j.aan.2016.07.008
Kaszala K, Huizar J, et al. Contemporary pacemakers: What the primary care physician needs to know. Mayo Clin Proc. 2008;83(10):1170-86. doi: http://www.doi.org/10.4065/83.10.1170
Bernstein AD, Daubert JC, et al. The Revised NASPE/BPEG generic code for antibradycardia, adaptive-rate, and multisite pacing. J Pacing Clin Electrophysiol. 2002;25(2):260-4. doi: http://www.doi.org/10.1046/j.1460-9592.2002.00260.x
Burney K, Burchard F, Papouchado M, Wilde P. Cardiac pacing systems and implantable cardiac defibrillators (ICDs): a radiological perspective of equipment, anatomy and complications. Clin Radiol. 2004;59:699-708. doi: http://www.doi.org/10.1016/j.crad.2004.01.009
Salvador P, Alandete G, et al. Pacemakers and implantable cardioverter defibrillators, unknown to chest radiography: Review, complications and systematic reading. Eur J Radiol. 2015;84:499-508. doi: http://www.doi.org/10.1016/j.ejrad.2014.12.011
Locati ET, Bagliani G, et al. Role of surface electrocardiograms in patients with cardiac implantable electronic devices. Card Electrophysiol Clin. 2018;10:233-55. doi: http://www.doi.org/10.1016/j.ccep.2018.02.012
McLeod CJ, Jost CHA, Warnes CA, et al. Epicardial versus endocardial permanent pacing in adults with congenital heart disease. J Interv Card Electrophysiol. 2010;28:235-43. doi: http://www.doi.org/10.1007/s10840-010-9494-4
Pow-Li C, et al. A practical approach to perioperative management of cardiac implantable electronic devices. Singapore Med J. 2015;56(10):538-41. doi: http://www.doi.org/10.11622/smedj.2015148
Hurtado Nazal C, Araneda VA, et al. Cuidado perioperatorio de pacientes portadores de dispositivos electrónicos cardiacos implantables. Rev Chil Cir. 2017;69(1):77-83. doi: http://www.doi.org/10.1016/j.rchic.2016.06.001
Barold S, Stroobandt R, Sinnaeve A. Cardiac pacemakers and resynchronization step-by-step: An illustrated guide. 2nd Ed. Oxford: Willey; 2010.
Stone M, Apinis A, et al. Current perioperative management of the patient with a cardiac rhythm management device. Sem Cardioth Vasc Anesth. 2009;13(1):31-43. doi: http://www.doi.org/10.1177/1089253209332211
Schulman PM, Rozner M. Use caution when applying magnets to pacemakers or defibrillators for surgery. Anesth Analg. 2013;117:422-7. doi: http://www.doi.org/10.1213/ANE.0b013e31829003a1.
Stevenson I, Voskoboinik A. Cardiac rhythm management devices. The Royal Australian College of general practitioners 2018. Reprinted from AJGP. 2018;47(5). doi: http://www.doi.org/10.31128/AJGP-12-17-4439
Mulpuru SK, Madhavan M, et al. Cardiac pacemakers: Function, troubleshooting, and management. J Am Coll Cardiol. 2017;69:189-210. doi: http://www.doi.org/10.1016/j.jacc.2016.10.061
Arora L, Inampudi C. Perioperative management of cardiac rhythm assist devices in ambulatory surgery and nonoperating room anesthesia. Curr Opin Anesthesiol. 2017;30(6):676-81. doi: http://www.doi.org/10.1097/ACO.0000000000000532.
Apfelbaum J, Belott P, et al. Practice advisory for the perioperative management of patients with cardiac implantable electronic devices: pacemakers and implantable cardioverter-defibrillators. Anesthesiology. 2011;114:247-61. doi: http://www.doi.org/10.1097/ALN.0b013e3181fbe7f6.
Crossley GH, Poole JE, Rozner MA, et al. The Heart Rhythm Society Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: Facilities and patient management. Heart Rhythm. 2011;8:1114-54. doi: http://www.doi.org/10.1016/j.hrthm.2010.12.023.
Rooke G, Lombaard SA, et al. Initial experience of an anesthesiology-based service for perioperative management of pacemakers and implantable cardioverter defibrillators. Anesthesiology. 2015;123:1024-32. doi: http://www.doi.org/10.1097/ALN.0000000000000838
Downloads
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
