title: Implantable Devices: Assessment and Perioperative Management.
abstract: Technology is the prominent feature of the twenty-first century, including in medicine. There are very few organs that cannot be stimulated, shocked, or infused. With more and more implantable devices being approved for clinical use, anesthesiologists have to regularly take care of patients who have these devices. An understanding of the devices, the associated comorbidities, and the perioperative risks is crucial for safe management of these patients. Cardiac devices are discussed in some detail; neurostimulators and other implantable devices are briefly described. The principles of assessment and management are similar for all patients with implanted devices.
authors.affiliation: Department of Anesthesiology, Stony Brook Medicine, 101 Nicolls Road, Stony Brook, NY 11794-8480, USA. Electronic address: ana.costa@stonybrookmedicine.edu.
authors.forename: Ana
authors.initials: A
authors.lastname: Costa
authors.affiliation: Department of Anesthesiology, Stony Brook Medicine, 101 Nicolls Road, Stony Brook, NY 11794-8480, USA.
authors.forename: Deborah C
authors.initials: DC
authors.lastname: Richman
mesh_terms: D017147:Defibrillators, Implantable; D004868:Equipment Failure; D006801:Humans; D010138:Pacemaker, Artificial; D019990:Perioperative Care / Q000379:methods*; D019736:Prostheses and Implants; D018570:Risk Assessment
keywords: Automatic implantable cardioverter defibrillator; Cardiovascular implantable electronic device (CIED); Electromagnetic interference (EMI); Pacemaker; Perioperative management; Preoperative assessment; Ventricular assist devices (VAD)