Don’t Get Zapped! Anesthesia Safety with Implanted Cardiac Devices

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Today, we're diving into a critical topic in modern healthcare: the perioperative management of patients with implanted electronic devices undergoing noncardiac surgery. With significant advancements in cardiology and cardiothoracic surgery, cardiac implantable electronic devices (CIEDs), including pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy devices, are becoming increasingly common in the surgical population. From pre-op assessment and EMI planning to post-op reprogramming, this deep dive breaks down complex protocols into actionable, life-saving steps.

Here’s some of what we discuss in this episode:

🔌 How electromagnetic interference (EMI) affects pacemakers & ICDs
🧲 When and how to use magnets during surgery
📋 Pre-op device ID, interrogation, and collaboration strategies
🛑 Why post-op reprogramming can’t be overlooked
⚠️ Emergency management tips for device failure or inappropriate therapy
📡 What to know about neurostimulators, VADs, and other devices

 

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