title: [Management of surgery patients with implanted cardiac pacemakers].
abstract: Patients having cardiac pacemaker implanted may be subjected to various general surgery procedures. Application of electrosurgery for the purpose of resection and coagulation, provides a high frequency electric field which produces electric voltage on the electrodes of the pacing system. This voltage may be detected within the pacing system, and various arrhythmias can be provoked in correlation with underlying rhythm and mode of pacing. Preoperative patient control and proper pacemaker programming can prevent the pacing malfunctions due to the electrosurgery application. Appropriate positioning of the neutral electrode in relation to the pacing system avoids the electric fields intersection and decreases their interference.
authors.affiliation: Zavod za kardijalnu kirurgiju, klinika za kirurgiju Medicinskog fakulteta, Klinicki bolnicki centar Rebro, Zagreb.
authors.forename: R
authors.initials: R
authors.lastname: Ugljen
authors.forename: D
authors.initials: D
authors.lastname: Dadić
authors.forename: B
authors.initials: B
authors.lastname: Ferek-Petrić
authors.forename: I
authors.initials: I
authors.lastname: Jelić
authors.forename: D
authors.initials: D
authors.lastname: Letica
authors.forename: D
authors.initials: D
authors.lastname: Anić
authors.forename: J
authors.initials: J
authors.lastname: Husar
mesh_terms: D001145:Arrhythmias, Cardiac / Q000209:etiology; D004598:Electrosurgery / Q000009:adverse effects*; D006801:Humans; D007430:Intraoperative Care; D010138:Pacemaker, Artificial; D011300:Preoperative Care
vernacular_title: Postupak s kirurskim bolesnikom--nosiocem elektrostimulatora srca.