Cardiovascular implanted electronic devices in people towards the end of life, during cardiopulmonary resuscitation and after death: guidance from the Resuscitation Council (UK), British Cardiovascular Society and National Council for Palliative Care.
The Resuscitation Council (UK), the British Cardiovascular Society (including the British Heart Rhythm Society and the British Society for Heart Failure) and the National Council for Palliative Care recognise the importance of providing clear and consistent guidance on management of cardiovascular implanted electronic devices (CIEDs) towards the end of life, during cardiorespiratory arrest and after death. This document has been developed to provide guidance for the full range of healthcare professionals who may encounter people with CIEDs in the situations described and for healthcare managers and commissioners. The authors recognise that some patients and people close to patients may also wish to refer to this document. It is intended as an initial step to help to ensure that people who have CIEDs, or are considering implantation of one, receive explanation of and understand the practical implications and decisions that this entails; to promote a good standard of care and service provision for people in the UK with CIEDs in the circumstances described; to offer relevant ethical and legal guidance on this topic; to offer guidance on the delivery of services in relation to deactivation of CIEDs where appropriate; to offer guidance on whether any special measures are needed when a person with a CIED receives cardiopulmonary resuscitation; and to offer guidance on the actions needed when a person with a CIED dies.
Vice President, Resuscitation Council (UK), 5th Floor, Tavistock House North, Tavistock Square, London, WC1H 9HR, UK.
David
D
Pitcher
Consultant in Anaesthetics & Intensive Care Medicine, North Bristol NHS Trust, Bristol, UK.
Jasmeet
J
Soar
Consultant Cardiologist, Glasgow Royal Infirmary, Glasgow, UK.
Karen
K
Hogg
Consultant Cardiologist, James Cook University Hospital, Middlesbrough, UK.
Nicholas
N
Linker
Director of Policy & External Affairs, the National Council for Palliative Care, London, UK.
Simon
S
Chapman
Consultant Cardiologist, Heart of England NHS Foundation Trust, Birmingham, UK.
James M
JM
Beattie
Pacing/ICD Service Manager, St George's Healthcare NHS Trust, London, UK.
Sue
S
Jones
Medical Director, St Christopher's Hospice, Consultant Physician in Palliative Care, Guy's & St Thomas' NHS Foundation Trust, Professor of Palliative Care, Cicely Saunders Institute, King's College London, London, UK.
Robert
R
George
Consultant Cardiologist, Freeman Hospital, Newcastle upon Tyne, UK.
Janet
J
McComb
Consultant Cardiologist, County Hospital, Hereford, UK.
James
J
Glancy
Member of the Patient Advisory Group, Resuscitation Council (UK), London, UK.
Gordon
G
Patterson
Lead Resuscitation Officer, Papworth Hospital, Cambridge, UK.
Sheila
S
Turner
Director of Courses Development and Training, Resuscitation Council (UK), London, UK.
Susan
S
Hampshire
Consultant in Emergency Medicine, Calderdale Royal Hospital, Halifax, UK.
Andrew
A
Lockey
Transplant & Divisional Support Manager, Heart Division, Harefield Hospital, Harefield, UK.
Tracey
T
Baker
Executive Director, Resuscitation Council (UK), London, UK.
Sarah
S
Mitchell
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