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ICD and CRT Device Implantation

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, one arm tucked, one arm extended
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Not usually given; most implants run under sedation. Nothing in threshold testing needs it - depth does.
Blocks : PEC I, PEC II
Considerations : Arterial line, Fluoroscopy / Xray, Off-site

Anesthetic Approaches

1MAC, Propofol Drip, Local Anesthetic
2GETT, 1/2 MAC Gas
3MAC, Nerve Block, Propofol Drip
The Surgery

Setting and preparation - Almost always an electrophysiology (EP) lab or a hybrid room rather than a main operating room. The left pectoral region is prepped and draped, intravenous antibiotic...

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