Pre- and intraoperative management of patients with a pacemaker or implantable cardioverter-defibrillator*
Pre- and intraoperative management of patients with a pacemaker or implantable cardioverter-defibrillator*
CIED: cardiac implantable electronic device; ICD: implantable cardioverter-defibrillator; PM: pacemaker. * Refer to UpToDate topics addressing perioperative management of patients with a pacemaker or implantable cardioverter-defibrillator. ¶ Factors considered by the CIED physician/care team in developing a perioperative management plan:
Is the CIED programming optimal for the patient's current status?
Should antitachycardia therapy be disabled?
Is the patient pacing dependent and if so, is an asynchronous pacing mode needed?
Is a more rapid pacing rate needed?
Should rate response be disabled?
Has the location of the surgical procedure and patient positioning been taken into consideration (eg, difficulties with maintaining a magnet in a stable position, inaccessibility of the magnet, or jeopardy to sterility of the surgical field)?
Is the operative care team aware of the intraoperative and postoperative CIED management plan (eg, reprogramming or magnet use when indicated)?