NDLI: Perioperative management of outpatients with implantable cardioverter defibrillators.

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Pain management after ambulatory surgery.

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Perioperative management of ambulatory surgical patients with diabetes mellitus.

Perioperative management of outpatients with implantable cardioverter defibrillators.

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Perioperative management of outpatients with implantable cardioverter defibrillators.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Joshi, Girish P.
Description	Country affiliation: United States Author Affiliation: Joshi GP ( University of Texas Southwestern Medical Center, Dallas, Texas 75390-9068, USA. girish.joshi@utsouthwestern.edu)
Abstract	PURPOSE OF REVIEW: Implantable cardioverter defibrillators (ICDs) are increasingly being placed in patients worldwide. These patients pose significant perioperative challenges and are at an increased risk of complications; the suitability of ambulatory surgery in this patient population remains controversial. The purpose of the present review is to examine the potential challenges and optimal perioperative care of patients with an ICD. RECENT FINDINGS: The American Society of Anesthesiologists Advisory for the perioperative management of patients with cardiac rhythm management devices as well as the American College of Cardiologists/American Heart Association guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery recommend that the tachyarrhythmia treatment algorithms of the ICD should be programmed off prior to surgery. However, these recommendations contradict those by the manufacturers and recent reports probably because they are based on data on early generation ICDs. Improvement in ICD technology and better understanding of ICD functions and awareness of potential electromagnetic interference-related problems can reduce ICD-related complications, and improve perioperative safety. SUMMARY: Anesthesia practitioners involved in the care of patients with ICDs should familiarize themselves with the response to magnets application on ICD function as well as understand the situations in which magnet use is not advisable. Perioperative communication with the patient's cardiologist and surgeon is critical in reducing adverse outcome.
File Format	HTM / HTML
ISSN	09527907
Issue Number	6
Volume Number	22
e-ISSN	14736500
Journal	Current Opinion in Anaesthesiology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2009-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Defibrillators, Implantable Prosthesis Implantation Ambulatory Care Humans Intraoperative Care Magnetics Perioperative Care Postoperative Care Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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