Costa Ana, Richman Deborah C
Department of Anesthesiology, Stony Brook Medicine, 101 Nicolls Road, Stony Brook, NY 11794-8480, USA.
Department of Anesthesiology, Stony Brook Medicine, 101 Nicolls Road, Stony Brook, NY 11794-8480, USA.
Anesthesiol Clin. 2016 Mar;34(1):185-99. doi: 10.1016/j.anclin.2015.10.014.
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.
科技是21世纪的显著特征，在医学领域亦是如此。几乎没有哪个器官不能被刺激、电击或灌注。随着越来越多的可植入设备获批用于临床，麻醉医生必须定期照料装有这些设备的患者。了解这些设备、相关的合并症以及围手术期风险对于安全管理这些患者至关重要。本文将详细讨论心脏设备；并简要介绍神经刺激器和其他可植入设备。对于所有植入设备的患者，评估和管理原则都是相似的。
