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In this 311th episode I welcome Dr. Mark Nelson to the show to discuss his management aid that helps clinicians easily figure out how to handle all types of AICDs and Pacers in the perioperative period.
CME: Link
References:
- Crossley GH, Poole JE, Rozner MA, et al. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement… Heart Rhythm, 2011;8(7):e1-18.
- Apfelbaum J, Schulman P, Mahajan A, Connis R, Madhulika A. Implantable Electronic Devices: Pacemakers and Implantable Cardioverter–Defibrillators 2020: An Updated Report…. Anesthesiology 2020;132:225–252
- Nelson M, Kusumoto F, Ellenbogen K, et al. Perioperative Cardiac Implantable Electronic Device (CIED) Management Aid. American society of Anesthesiologists website. https://www.asahq.org/standards-and-practice-parameters/resources-from-asa-committees#cied. Published March 2024.
Random Recs:
Do you have a link for the app? If so where?
https://apps.apple.com/us/app/periop-pacemaker/id6615070538
Thank you so much for this!
Is there also a link for the PDF/document?
https://www.asahq.org/standards-and-practice-parameters/resources-from-asa-committees#cied
Silly question but why doesn’t asynchronous mode cause R on T when we place a magnet for perioperative purposes?
Good question. It can if the patient has an underlying native heart rate. But usually that underlying rate is slow and the asynchronous mode defaults to a higher rate making it unlikely that a native beat would break through.