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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

Published in:

01-04-2009 | Review Articles/Brief Reviews

Non-cardiac implantable electrical devices: brief review and implications for anesthesiologists

Authors: Lashmi Venkatraghavan, MD, Vinod Chinnapa, MD, Philip Peng, MBBS, Richard Brull, MD

Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Issue 4/2009

Abstract

Purpose

Patients with implanted electrical devices (IEDs) are vulnerable to electromagnetic interference (EMI) from electrical equipment used in the perioperative environment. As the indications for non-cardiac IEDs increase, so too does the likelihood of anesthesiologists encountering such patients who present for surgery. This article reviews the important anesthetic considerations for patients with implanted non-cardiac electrical devices.

Source

We searched Medline (1980 to December 2008) and Embase (1980 to December 2008) and reviewed all relevant manuscripts regarding non-cardiac IEDs and anesthesia.

Principal findings

There are numerous non-cardiac IEDs currently in use, including deep brain stimulators, vagal nerve stimulators, gastric stimulators, phrenic nerve stimulators, sacral nerve stimulators, and bone stimulators. A key goal in the perioperative management of these patients is to reduce the risk of adverse events resulting from device interactions with electrocautery, external emergency cardiac defibrillation, peripheral nerve stimulation, neuraxial anesthesia, and magnetic resonance imaging. We offer a general management strategy for patients with IEDs presenting for surgery.

Conclusions

In the absence of available anesthesia management guidelines regarding non-cardiac IEDs in the perioperative setting, anesthesiologists should appreciate the basic principles pertaining to IEDs to ensure appropriate risk reduction strategies in order to enhance patient safety.

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Title: Non-cardiac implantable electrical devices: brief review and implications for anesthesiologists
Authors: Lashmi Venkatraghavan, MD
Vinod Chinnapa, MD
Philip Peng, MBBS
Richard Brull, MD
Publication date: 01-04-2009
Publisher: Springer-Verlag
Published in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Issue 4/2009
Print ISSN: 0832-610X
Electronic ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-009-9056-3

At a glance: The STEP trials

Springer Medicine

Non-cardiac implantable electrical devices: brief review and implications for anesthesiologists

Abstract

Purpose

Source

Principal findings

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Source

Principal findings

Conclusions

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