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Journal Information
Vol. 64. Issue 5.
Pages 286-293 (May 2017)
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Vol. 64. Issue 5.
Pages 286-293 (May 2017)
Review
Perioperative management of patients with cardiac implantable electronic devices
Manejo perioperatorio de los pacientes con dispositivos cardíacos electrónicos implantables
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11
R. Poveda-Jaramillo
Corresponding author
ricardopovedamd@yahoo.com

Corresponding author.
, H.D. Castro-Arias, C. Vallejo-Zarate, L.F. Ramos-Hurtado
Anestesia Cardiovascular, Universidad CES, Medellín, Antioquia, Colombia
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Tables (4)
Table 1. Pacemaker codes.
Table 2. Issues to consider in the preoperative assessment.
Table 3. Devices producing significant electromagnetic interference.
Table 4. Recommendations for intraoperative pacemaker management.
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Additional material (1)
Abstract

The use of implantable cardiac devices in people of all ages is increasing, especially in the elderly population: patients with pacemakers, cardioverter-defibrillators or cardiac resynchronization therapy devices regularly present for surgery for non-cardiac causes. This review was made in order to collect and analyze the latest evidence for the proper management of implantable cardiac devices in the perioperative period. Through a detailed exploration of PubMed, Academic Search Complete (EBSCO), ClinicalKey, Cochrane (Ovid), the search software UpToDate, textbooks and patents freely available to the public on Google, we selected 33 monographs, which matched the objectives of this publication.

Keywords:
Artificial pacemaker
Implantable cardioverter-defibrillators
Cardiac resynchronization therapy devices
Anaesthesia
Resumen

Es cada vez más frecuente el uso de dispositivos cardíacos implantables en personas de todas las edades, siendo superlativo en la población adulta mayor, y favoreciendo que cada vez sea más frecuente encontrar pacientes con marcapasos, cardiodesfibriladores o resincronizadores en cirugía por causas no cardíacas. Esta revisión se hizo con el fin de seleccionar y analizar la más actualizada evidencia para el manejo apropiado de los dispositivos cardíacos implantables en el perioperatorio. A través de una exploración detallada en las bases de datos PubMed, Academic Search Complete (EBSCO), ClinicalKey, Cochrane (Ovid), el software de búsqueda UpToDate, libros de texto y patentes de libre acceso al público en Google, seleccionamos 33 monografías que se ajustaban a los objetivos de esta publicación.

Palabras clave:
Marcapasos artificial
Desfibriladores implantables
Dispositivos de terapia de resincronización cardíaca
Anestesia

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