QUESTION
Absolute mrisk mof many membolic mevent min ma mpatient mwith ma mlow mrisk mcondition min
m whommanticoagulation mis mstopped mfor m4-7 mdays
QUESTION
what mtype mof mdevices mare mpreferred min mpatients mwith mCIED?
Answer:
bipolar mand multrasonic mdevices
QUESTION
what mspecial mconsiderations mcan mbe mtaken mto mminimize mthe mrisk mof mEMI
(electromagneticminterference) mwhen musing mmonopoly mdevices?
m
Answer:
-important mto mdetermine mthe mtype mof mdevice m(ICD mor mpacemaker)
-determine mif mthe mpatient mis mCIED mpaving mdependent. mThis mis mdetermined mby mevaluating mthe
mEKG. mIn mgeneral, ma mCIED mdependent mpatient mwill mhave mpacemaker mspikes min mfront mof mall mor
mmost mP mwavesm or mQRS mcomplexes
QUESTION
when mdo myou mneed mto mplace ma mmagnet mfor mimplanted melectronic mdevices?
Answer:
-for ma mnon-pacing mdependent mpatient mwith man mICD, ma mmagnet mplaced mover mthe mCIED
mgenerator mwillmnot mregret mto masynchronous mmode mbut mit mis mrecommended mto muse ma mmagnet mto
msuspend mtachyarrythmia mdetection
-in ma mnon-pacing mdependent mpatient mwith ma mpacemaker m(not mICD) ma mmagnet mshould mbe
mreadilym available)
-in.a mpacing mdependent mpatient m(not mICD), mit mis mrecommended mto mplace ma mmagnet mfor
mprocedures mthat mrequire mextensive mmonopoly melectrosurgery mor mfor mprocedures m above mthe
mumbilicus m(ie mclosermto mthe mCIED) mand mto mhave ma mmagnet mreadily mavailable mfor mprocedures
m below mthe mumbilicus
-in ma mpacing-dependent mpatient mwith man mICD, mit mis mrecommended mto me ma mmagnet mto
msuspendm tachyarrhythmia mdetection
, QUESTION
other mconsiderations mfor mpatients mwith ma mCIED mor mICD:
Answer:
should mbe mmonitored mwith meither mplethysmography mor man marterial mline
-should mhave mtranscutaneous mpatches mfor memergent mdefibrillation mand'r memergent
mtranscutaneousm pacing
-post mprocedure, mthe mCIED msystem mmust mbe mevaluated mbefore mthe mpatient mleaves ma
mmonitoredm setting
QUESTION
moderate msedation mwith manalgesia m"conscious msedation" mis mcharacterized mby:
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