Management of Patients With Cardiovascular Implantable Electronic Devices in Dental, Oral, and Maxillofacial Surgery.
The prevalence of cardiovascular implantable electronic devices as life-prolonging and life-saving devices has evolved from a treatment of last resort to a first-line therapy for an increasing number of patients. As these devices become more and more popular in the general population, dental providers utilizing instruments and medications should be aware of dental equipment and medications that may affect these devices and understand the management of patients with these devices. This review article will discuss the various types and indications for pacemakers and implantable cardioverter-defibrillators, common drugs and instruments affecting these devices, and management of patients with these devices implanted for cardiac dysrhythmias.
Dentist Anesthesiologist, Associate Clinical Professor, Divisions 1 & 3, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles.
James
J
Tom
D001145:Arrhythmias, Cardiac / Q000628:therapy; D017147:Defibrillators, Implantable; D017742:Dental Care for Chronically Ill / Q000379:methods*; D003748:Dental Equipment; D006801:Humans; D019647:Oral Surgical Procedures / Q000379:methods*; D010138:Pacemaker, Artificial; D019990:Perioperative Care; D053210:Pharmaceutical Preparations, Dental / Q000627:therapeutic use
D053210:Pharmaceutical Preparations, Dental
Apex locator; Bradycardia; CIED; Cauterization; Defibrillation; Electrocautery; Electromagnetic interference; Electrosurgery; ICD; Pacemakers; Radiographs; Sensing; Tachyarrhythmias; Ultrasonic