S5 Ep. 4: Shock to the system, part 1 (Cardiac implantable devices)

Today, we tackle the peri-operative management of cardiac implantable devices after the recent publication of the British Heart Rhythm Society's guidelines in the journal, Anaesthesia.

In part 1 of this 2 part series, we start with a discussion about the different types of implantable cardiac devices that may be encountered in our practice. We explain how the NGB code illustrates the way that pacemakers are programmed, as well as what happens to some of these programs when a magnet is applied in the perioperative setting. We then go on to a similar discussion where we explain how the NBD code describes the function and lead placement for implantable cardioverter defibrillators. 

Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you!

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.

Thanks for listening, and happy studying!

Resources for today's episode: 

Guidelines for the peri-operative management of people with cardiac implantable electronic devices - Guidelines from the British Heart Rhythm Society

The Revised NASPE/BPEG Generic Code forAntibradycardia, Adaptive-Rate, and Multisite Pacing (Auto-download of the pdf) by A.D. Bernstein et. al. 

NAPSE Policy Statement: The NAPSE/BPEG Defibrillator Code by A. D. Bernstein et. al. 

Deranged Physiology: Single and Dual Chamber Pacing Modes

Anaesthesia Tutorial of the Week #299 - Pacemakers and Implantable Cardioverter Defibrillators, part 1

Anaesthesia Tutorial of the Week #300 - Pacemakers and Implantable Cardioverter Defibrillators, part 2

Feel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you!

And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode.

Thanks for listening, and happy studying!