{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T11:48:01Z","timestamp":1789559281936,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T00:00:00Z","timestamp":1650067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>This document provides practical guidance for the management of people with cardiac implantable electronic devices who are undergoing surgical intervention. Increasing numbers of people have cardiac device implants including pacemakers, implantable defibrillators and cardiac resynchronisation devices. During surgical procedures, exposure to electromagnetic interference may lead to inappropriate device function including withholding of pacing function or shock therapies. The guideline summarises key aspects of pre\u2010operative assessment protocols to ensure that all people have their device clearly identified and have had appropriate device follow\u2010up pre\u2010operatively. It outlines general measures which can minimise the risk of potentially problematic electromagnetic interference in the surgical environment. It also includes detailed guidance according to the type of device, whether individuals are dependent on the pacing function of the device and the nature of the procedure they are undergoing. People identified as being at significant risk of harmful procedure\u2010related inappropriate device function may require temporary alteration to the device programming. This may be carried out by a trained cardiac physiologist using a device programmer or, in some cases, can be achieved by clinical magnet application. Guidance on the safe use of magnets and emergency situations is included. Common diagnostic procedures and dental interventions are covered. The guidance aims to provide specific and pragmatic advice which can be applied to provide safe and streamlined care for people with cardiac implantable devices.<\/jats:p>","DOI":"10.1111\/anae.15728","type":"journal-article","created":{"date-parts":[[2022,4,16]],"date-time":"2022-04-16T12:37:29Z","timestamp":1650112649000},"page":"808-817","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Guidelines for the peri\u2010operative management of people with cardiac implantable electronic devices"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4011-8858","authenticated-orcid":false,"given":"H.","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Cardiology Northumbria Healthcare NHS Foundation Trust  Northumberland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Plummer","sequence":"additional","affiliation":[{"name":"Department of Cardiology Newcastle upon Tyne NHS Foundation Trust  Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. J.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Cardiology Imperial College Healthcare NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Foley","sequence":"additional","affiliation":[{"name":"Department of Cardiology Great Western Hospitals NHS Foundation Trust  Swindon UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. J.","family":"Turley","sequence":"additional","affiliation":[{"name":"Department of Cardiology South Tees NHS Foundation Trust  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"ThomasH TurleyA PlummerC.British Heart Rhythm Society guidelines for the management of patients with cardiac implantable electronic devices around the time of surgery.2016.https:\/\/bhrs.com\/wp\u2010content\/uploads\/2019\/05\/Revised\u2010guideline\u2010CIED\u2010and\u2010surgery\u2010Feb\u201019.pdf(accessed 17\/03\/2022)."},{"key":"e_1_2_10_3_1","unstructured":"Medicines and Healthcare products Regulatory Agency.Guidelines for the perioperative management of patients with implantable pacemakers or implantable cardioverter defibrillators where the use of surgical diathermy\/electrocautery is anticipated.2006.https:\/\/webarchive.nationalarchives.gov.uk\/ukgwa\/20100709170822\/http:\/\/www.mhra.gov.uk\/Safetyinformation\/Generalsafetyinformationandadvice\/Product\u2010specificinformationandadvice\/Cardiacpacemakersanddefibrillators(implantable)\/Guidelinesforimplantablecardioverterdefibrillators\u2010pacemakerperioperativemanagement\/index.htm(accessed 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