More than pacemakers and defibrillators: perioperative management of implantable devices for patient safety.

IF 2.3 3区医学 Q2 ANESTHESIOLOGY Current Opinion in Anesthesiology Pub Date : 2024-12-01 Epub Date: 2024-08-19 DOI:10.1097/ACO.0000000000001427

Monica W Harbell, Molly B Kraus, Andrea Lopez-Ruiz, Madina Gerasimov, Jillian A Maloney

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Abstract

Purpose of review: The use of implantable medical devices (IMDs) continues to increase with estimates that 10% of the American population will have an IMD in their lifetime. IMDs require special considerations for management in the perioperative period to ensure optimal patient care and patient safety. This review summarizes the current perioperative considerations for IMDs.

Recent findings: This review summarizes perioperative recommendations for spinal cord stimulators, deep brain stimulators, peripheral nerve stimulators, vagus nerve stimulators, muscle stimulators, intrathecal drug delivery systems, implantable infusion pumps, artificial pancreas devices, continuous glucose monitors, and cochlear implants. There are multiple publications and guidelines regarding the perioperative considerations of cardiac implantable electronic devices; thus, this review excludes those devices. This review includes recommendations on management of the device perioperatively, the potential complications, and postoperative care of the device.

Summary: There are very few guidelines regarding the perioperative management of IMDs. Given the significant impact that these devices have on patient care and safety, evidence-based guidelines should be established.

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不仅仅是起搏器和除颤器：为患者安全而进行的植入式设备围手术期管理。

审查目的：植入式医疗设备（IMDs）的使用率持续上升，据估计，10% 的美国人在一生中将拥有一个植入式医疗设备。IMD 在围手术期的管理需要特别考虑，以确保最佳的患者护理和患者安全。本综述总结了目前 IMD 的围手术期注意事项：本综述总结了脊髓刺激器、脑深部刺激器、周围神经刺激器、迷走神经刺激器、肌肉刺激器、鞘内给药系统、植入式输液泵、人工胰腺装置、连续血糖监测仪和人工耳蜗植入的围手术期建议。关于心脏植入式电子设备的围手术期注意事项，有多种出版物和指南；因此，本综述不包括这些设备。本综述包括有关设备围手术期管理、潜在并发症和设备术后护理的建议。摘要：有关 IMD 围手术期管理的指南很少。鉴于这些装置对患者护理和安全的重大影响，应制定循证指南。

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来源期刊

Current Opinion in Anesthesiology 医学-麻醉学

CiteScore

4.90

自引率

8.00%

发文量

207

审稿时长

12 months

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Anesthesiology features hand-picked review articles from our team of expert editors. With fifteen disciplines published across the year – including cardiovascular anesthesiology, neuroanesthesia and pain medicine – every issue also contains annotated references detailing the merits of the most important papers.

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