{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:49:49Z","timestamp":1790668189058,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T00:00:00Z","timestamp":1355788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Limited data are available regarding the perioperative management of cardiac rhythm management devices (CRMDs) exposed to intraoperative electromagnetic interference. We postulated that implementation of a simple, standardized approach to CRMD management using our own institution's Pacing And Cardioverting Electronic Devices peri\u2010Operative Protocol (the PACED\u2010OP protocol) would be associated with a reduction in the amount of device reprogramming without an increase in CRMD\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of patients with CRMDs undergoing 497 consecutive surgical procedures were analyzed retrospectively. Roughly half (51%, n\u00a0=\u00a0254) of these procedures occurred before implementation of the PACED\u2010OP protocol, when patients were generally treated according to the American Society of Anesthesiologists' 2005 guidelines. These cases were compared to the remaining surgeries that occurred after implementation of the PACED\u2010OP protocol. Records were screened for evidence of intraoperative CRMD malfunction that was directly associated with the use of electrocautery. Postoperative complications that could be indirectly or possibly linked to electrocautery\u2010mediated CRMD malfunction were also identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Implementation of the PACED\u2010OP protocol was associated with a significant reduction in the odds of device reprogramming (adjusted odds ratio [aOR] 0.19, P\u00a0&lt;\u00a00.001). There was no direct evidence of CRMD malfunction in either cohort. The rate of postoperative complications that could be indirectly or possibly linked with electrocautery\u2010mediated CRMD damage did not differ significantly between cohorts (aOR\u00a0=\u00a01.37, 95% confidence interval 0.56\u20133.3, P\u00a0=\u00a00.49).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The PACED\u2010OP protocol implementation was associated with a significant reduction in the odds of device reprogramming without a significant difference in the odds of CRMD\u2010related complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12049","type":"journal-article","created":{"date-parts":[[2012,12,18]],"date-time":"2012-12-18T22:06:15Z","timestamp":1355868375000},"page":"238-248","source":"Crossref","is-referenced-by-count":25,"title":["A Perioperative Management Algorithm for Cardiac Rhythm Management Devices: The PACED\u2010OP Protocol"],"prefix":"10.1111","volume":"36","author":[{"given":"WILLIAM J.","family":"MAHLOW","sequence":"first","affiliation":[{"name":"Department of Cardiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBERT M.","family":"CRAFT","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NICHOLAS L.","family":"MISULIA","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JAMES W.","family":"COX","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JEFFREY B.","family":"HIRSH","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CAROLYN C.","family":"SNIDER","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JERRIN O.","family":"NABERS","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZACHARY A.","family":"DICKSON","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ROBERT A.","family":"MUENCHEN","sequence":"additional","affiliation":[{"name":"OIT Research Support University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"DALE C.","family":"WORTHAM","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Tennessee  Knoxville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,12,18]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.07.010"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.12.023"},{"key":"e_1_2_6_4_1","first-page":"1388","volume-title":"Miller's Anesthesia","author":"Rozner 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