[Management of surgery patients with implanted cardiac pacemakers].
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.
Ugljen
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Zavod za kardijalnu kirurgiju, klinika za kirurgiju Medicinskog fakulteta, Klinicki bolnicki centar Rebro, Zagreb.
Dadić
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Ferek-Petrić
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Jelić
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Husar
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D001145:Arrhythmias, Cardiac / Q000209:etiology; D004598:Electrosurgery / Q000009:adverse effects*; D006801:Humans; D007430:Intraoperative Care; D010138:Pacemaker, Artificial; D011300:Preoperative Care
Postupak s kirurskim bolesnikom--nosiocem elektrostimulatora srca.