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Perioperative management of devices 

Perioperative management of devices
Chapter:
Perioperative management of devices
Author(s):

Yaver Bashir

, James Gamble

, and Paul Leeson

DOI:
10.1093/med/9780199687831.003.0017
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date: 21 September 2019

Expanding use of pacemakers and implantable cardioverter defibrillators (ICDs) has made it common for patients with devices to present for elective or emergency surgery and other interventional procedures. The key issue in perioperative management is the potential for electromagnetic interference (EMI) altering performance of devices, possibly leading to malfunction and/or adverse clinical consequences. This chapter covers the American College of Cardiology, American Heart Association, and UK Medicines and Healthcare Products Regulatory Agency guidelines for perioperative management of pacemakers or ICDs. Assessment, intra-operative management, and post-operative management are all described.

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