Seminars in Cardiothoracic and Vascular Anesthesia

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Register here to gain access to SAGE's 500+ Journals Online

Click here to browse AJSM online!

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Collard, C. D.
Right arrow Articles by Body, S. C.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Collard, C. D.
Right arrow Articles by Body, S. C.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 4, No. 3, 144-151 (2000)
DOI: 10.1053/scva.2000.8494

Anesthetic Implications for Patients With Permanent Pacemakers

Charles D. Collard

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

Simon C. Body

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

Anesthesiologists will increasingly be required to treat patients with permanent pacemakers in the periopera tive period. Careful preoperative anesthetic evaluation is mandatory and includes attention to both the initial pathology that led to pacemaker insertion as well as to coexisting disease and treatment. Specific information regarding the patient's pacemaker should be sought, including the type and model, battery state, ability to stimulate the heart, and the expected response to placement of a magnet over the device. Additional preoperative considerations are discussed. Important intraoperative considerations for patients with perma nent pacemakers are also reviewed, including issues of rate-adaptive pacing, electrical interference with pace maker function, and loss of pacing capability. Additional intraoperative anesthetic issues, including the choice of anesthetic technique and the use of invasive monitoring for patients with permanent pacemakers are addressed. Specific considerations for lithotripsy, radiotherapy, and magnetic resonance imaging are also discussed. Finally, postoperative considerations are reviewed. Although pacemaker complications are unusual during anesthe sia, it is essential that anesthesiologists be able to anticipate, recognize, and treat pacemaker dysfunction in the perioperative period.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?