Ott K, Pressl H, Schramm M, Wutzl A
Klinik für Anästhesiologie und Operative Intensivmedizin, Klinikum Augsburg, Stenglinstr. 2, 86156, Augsburg, Deutschland.
Anaesthesist. 2017 Oct;66(10):803-826. doi: 10.1007/s00101-017-0373-6.
The number of patients treated with cardiac implantable electronic devices (CIED) is continously increasing. Knowledge of the medical indications and technical mode of functioning of these devices is a basic prerequisite for the safe perioperative care of this patient cohort. The CIEDs are subjected to a multitude of disturbing influences in the perioperative setting. This can result in potentially dangerous complications, such as exit block and oversensing. The safe performance of interventions is possible as long as some basic rules are followed. An interdisciplinary approach involving all participating disciplines is necessary in order to adequately deal with the high demands placed on the logistics.
接受心脏植入式电子设备（CIED）治疗的患者数量持续增加。了解这些设备的医学适应症和技术运行模式是对这一患者群体进行安全围手术期护理的基本前提。在围手术期，CIED会受到多种干扰影响。这可能导致潜在的危险并发症，如出口阻滞和感知过度。只要遵循一些基本规则，干预措施就能安全实施。为了充分应对后勤方面的高要求，需要采取一种涉及所有参与学科的跨学科方法。
