bandage-green

Cardiac Device Generator Change and Lead Extraction

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 2-4 hours (long)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Arterial line, Central line, Off-site, Fluoroscopy / Xray, High Blood Loss, Cardiopulmonary Bypass, TEE

Anesthetic Approaches

1GETT
2MAC, Propofol Drip, Local Anesthetic
The Surgery

Pocket opened - the old scar is reopened, the generator lifted out of its pocket and the leads freed from the capsule that has formed around them. A generator change stops here: the header is...

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