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Der Anaesthesist

, Volume 58, Issue 5, pp 485–498 | Cite as

Perioperatives Management von Patienten mit implantiertem Schrittmacher oder Kardioverter/Defibrillator

Empfehlungen der Österreichischen Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin, der Österreichischen Kardiologischen Gesellschaft und der Österreichischen Gesellschaft für Chirurgie
  • H. GombotzEmail author
  • M. Anelli Monti
  • N. Leitgeb
  • M. Nürnberg
  • B. Strohmer
Leitlinien und Empfehlungen

Zusammenfassung

Das perioperative Risiko von Patienten mit implantiertem Herzschrittmacher (SM) oder implantiertem Kardioverter/Defibrillator (ICD) hängt in erster Linie von der jeweiligen Grunderkrankung ab. Allerdings können schwere bis lebensbedrohliche Störungen der implantierten Systeme durch elektromagnetische Interferenzen im Umfeld der Operation auftreten. Diese Komplikationen können durch entsprechende Maßnahmen verhindert bzw. behandelt werden. Wenngleich die Datenlage zum optimalen perioperativen Umgang mit SM und ICD derzeit noch unbefriedigend ist, war die zunehmende klinische Relevanz der Thematik Anlass dafür, in Österreich in einer interdisziplinären Arbeitsgruppe Empfehlungen für die Praxis zu erarbeiten.

Schlüsselwörter

Schrittmacher Implantierbarer Kardioverter/Defibrillator Perioperatives Risiko Elektromagnetische Interferenzen Perioperatives Management 

Perioperative management of patients with implanted pacemakers or cardioverter/defibrillators

Recommendations of the Austrian Society for Anaesthesiology, Resuscitation and Intensive Care Medicine, the Austrian Society for Cardiology and the Austrian Society for Surgery

Abstract

The perioperative risk for patients with pacemakers or implanted cardioverter/defibrillators (ICD) is mainly dependent on the underlying disease. However, severe to life-threatening complications of the implanted system can occur due to electromagnetic interference in the environment of the operation. These complications can be prevented or adequately treated by taking special precautions and measures. Even though the currently available data on the optimal perioperative management to pacemakers and ICDs is still unsatisfactory, the increasing clinical relevance of this topic was the reason for the formulation of recommendations by an interdisciplinary working group in Austria.

Keywords

Pacemaker Implantable cardioverter/defibrillator Perioperative risk Electromagnetic interference Perioperative management 

Notes

Danksagung

Die Autoren bedanken sich bei den Präsidenten der Gesellschaften für ihre Unterstützung und Kooperation: Prof. H. Metzler, Österreichische Gesellschaft für Anästhesiologie, Reanimation und Intensivmedizin, Prof. K. Huber, Österreichische Kardiologische Gesellschaft, Prof. A. Tuchmann, Österreichische Gesellschaft für Chirurgie.

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag 2009

Authors and Affiliations

  • H. Gombotz
    • 1
    Email author
  • M. Anelli Monti
    • 2
  • N. Leitgeb
    • 3
  • M. Nürnberg
    • 4
  • B. Strohmer
    • 5
  1. 1.Abteilung für Anästhesiologie und IntensivmedizinAllgemeines KrankenhausLinzÖsterreich
  2. 2.Klinische Abteilung für HerzchirurgieMedizinische UniversitätGrazÖsterreich
  3. 3.Institut für Health Care Engineering mit Europaprüfstelle für MedizinprodukteTechnische UniversitätGrazÖsterreich
  4. 4.Medizinische Abteilung mit Kardiologie und Internistischer NotaufnahmeWihelminenspitalWienÖsterreich
  5. 5.Univ. Klinik für Innere Medizin II, Kardiologie und Internistische Intensivmedizin, Salzburger LandesklinikenParacelsus Medizinische PrivatuniversitätSalzburgÖsterreich

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