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Med Clin North Am. 2013 Nov;97(6):1051-75. doi: 10.1016/j.mcna.2013.05.004. Epub 2013 Aug 12.

Patients with pacemaker or implantable cardioverter-defibrillator.

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Department of Anesthesiology & Perioperative Medicine, Oregon Health & Science University, Mail Code: UHS-2, 3181 S.W. Sam Jackson Park Road, Portland, OR 97239, USA. Electronic address:


The preparation of patients with a cardiac implantable electronic device (CIED) for the perioperative period necessitates familiarity with recommendations from the American Society of Anesthesiologists and Heart Rhythm Society. Even clinicians who are not CIED experts should understand the indications for implantation, as well as the basic functions, operations, and limitations of these devices. Before any scheduled procedure, proper CIED function should be verified and a specific CIED prescription obtained. Acquiring the requisite knowledge base and developing the systems to competently manage the CIED patient ensures safe and efficient perioperative care.


Cardioverter-Defibrillator; Management; Pacemaker; Perioperative; Preoperative

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