(If you're hearing an episode on Dexmedatomidine and using Apple Podcasts, please delete the file and re-download it so you can hear the proper episode about 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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