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Figure from:The American Society of Anesthesiologists (ASA)

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Appendix 4A = Programmed parameters for pacemakers during power-on reset mode pendix 4B Programmed parameters for implantable cardioverter defibrillators during power on reset mode

Table 16 Appendix 4A = Programmed parameters for pacemakers during power-on reset mode pendix 4B Programmed parameters for implantable cardioverter defibrillators during power on reset mode

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Figure 1 PA radiographs of a patient with a pacemaker (left) and ICD (right) are shown. Arrow A shows the right ventricular lead of the pacemaker which does not have a radiodense coil. Arrow B shows the right ventricular lead of the ICD. If the anticipated use of electrosurgery can be limited to short bursts, it may be reasonable to have a magnet handy should long periods of pacemaker inhibition be observed. On the other hand if the surgical procedure will either use extensive periods of electrosurgery and/or the position of the patient would preclude being able to rapidly place a magnet over the pulse generator, we recommend that the operative team place the magnet over the pulse generator. For surgical sites of lower
Figure 1 PA radiographs of a patient with a pacemaker (left) and ICD (right) are shown. Arrow A shows the right ventricular lead of the pacemaker which does not have a radiodense coil. Arrow B shows the right ventricular lead of the ICD. If the anticipated use of electrosurgery can be limited to short bursts, it may be reasonable to have a magnet handy should long periods of pacemaker inhibition be observed. On the other hand if the surgical procedure will either use extensive periods of electrosurgery and/or the position of the patient would preclude being able to rapidly place a magnet over the pulse generator, we recommend that the operative team place the magnet over the pulse generator. For surgical sites of lower
Table 8 Specific procedures and writing committee recommendations on postoperative CIED evaluation #This evaluation is intended to reveal electrical reset. Therefore, an interrogation alone is needed. This can be accomplished in person or by remote telemetry.
Table 8 Specific procedures and writing committee recommendations on postoperative CIED evaluation #This evaluation is intended to reveal electrical reset. Therefore, an interrogation alone is needed. This can be accomplished in person or by remote telemetry.
*Significant: The relationship is considered to be “significant” if (1) the person receives $10,000 or more during any 12-month period or 5% or more of the person’s gross income; or (2) the person owns 5% or more of the voting stock or share of the entity or owns $10,000 or more of the fair market value of the entity. A relationship is considered to be “modest” if it is less than “significant” under the preceding definition. Appendix 1 = Author disclosures
*Significant: The relationship is considered to be “significant” if (1) the person receives $10,000 or more during any 12-month period or 5% or more of the person’s gross income; or (2) the person owns 5% or more of the voting stock or share of the entity or owns $10,000 or more of the fair market value of the entity. A relationship is considered to be “modest” if it is less than “significant” under the preceding definition. Appendix 1 = Author disclosures
Appendix 2. Summary of studies published in the literature describing interactions between CIEDs and medical equipment
Appendix 2. Summary of studies published in the literature describing interactions between CIEDs and medical equipment
Appendix 2 Continued
Appendix 2 Continued
Appendix 2 Continued EX = Experimental study; CR = Case report; CS = Case series; A = Abstract; Le = Letter; S = Survey; BC = Example given in a book chapter; Re = Example given in a review; ICD = Implanta defibrillator; PM = Pacemaker; CRT = Cardiac resynchronization therapy; EMI = Electromagnetic interference; CABG = Coronary artery bypass grafting; STIMAREC = stimulation cardiaque de la Sociét de cardiologie et de l’Association européenne de stimulo-vigilance; bpm = BPM = Beats per minute; ERI = Elective replacement interval.
Appendix 2 Continued EX = Experimental study; CR = Case report; CS = Case series; A = Abstract; Le = Letter; S = Survey; BC = Example given in a book chapter; Re = Example given in a review; ICD = Implanta defibrillator; PM = Pacemaker; CRT = Cardiac resynchronization therapy; EMI = Electromagnetic interference; CABG = Coronary artery bypass grafting; STIMAREC = stimulation cardiaque de la Sociét de cardiologie et de l’Association européenne de stimulo-vigilance; bpm = BPM = Beats per minute; ERI = Elective replacement interval.
Appendix 3 Reference group
Appendix 3 Reference group
All devices will respond to magnet application by temporarily disabling tachyarrhythmic detection. Pacing polarity for all devices is bipolar with the exception of Boston Scientific, which paces in a unipolar configuration. Energy values listed for Medtronic and St. Jude represent energy delivered. The remaining represent energy charged. *In CRT devices, left ventricle lead output is 4.8 V @ 0.5 ms. {The Current and Promote family of devices revert to an AutoSense sensitivity setting, pace at VVI 67.5 bpm with pacing outputs of 5.0 V @ 0.6 ms. The Epic and Epic II family of device deliver 30 J X 6. 80vatio family of devices: 34 J Xx 4. bpm = beats per minute; V = volts; ms = milliseconds; mV = millivolts; magnet = device will/will not pace asynchronously in response to a magnet HiimMmAn BAtAtTis MAHA Jeaeat AHA *Accent/Anthem and Frontier II models deliver 5 V @ 0.6 ms. {Boston Scientific CRT-P devices differ in pacing output (5 V @ 0.5 ms) and pacing polarity (right ventricle lead is unipolar and left ventricle lead pace: from left ventricle tip to pulse generator). bpm = beats per minute; V = volts; ms = milliseconds; mV = millivolts; magnet = device will/will not pace asynchronously in response to a magnet during safety mode/reset mode.
All devices will respond to magnet application by temporarily disabling tachyarrhythmic detection. Pacing polarity for all devices is bipolar with the exception of Boston Scientific, which paces in a unipolar configuration. Energy values listed for Medtronic and St. Jude represent energy delivered. The remaining represent energy charged. *In CRT devices, left ventricle lead output is 4.8 V @ 0.5 ms. {The Current and Promote family of devices revert to an AutoSense sensitivity setting, pace at VVI 67.5 bpm with pacing outputs of 5.0 V @ 0.6 ms. The Epic and Epic II family of device deliver 30 J X 6. 80vatio family of devices: 34 J Xx 4. bpm = beats per minute; V = volts; ms = milliseconds; mV = millivolts; magnet = device will/will not pace asynchronously in response to a magnet HiimMmAn BAtAtTis MAHA Jeaeat AHA *Accent/Anthem and Frontier II models deliver 5 V @ 0.6 ms. {Boston Scientific CRT-P devices differ in pacing output (5 V @ 0.5 ms) and pacing polarity (right ventricle lead is unipolar and left ventricle lead pace: from left ventricle tip to pulse generator). bpm = beats per minute; V = volts; ms = milliseconds; mV = millivolts; magnet = device will/will not pace asynchronously in response to a magnet during safety mode/reset mode.
Appendix 5B ‘ICD magnet response (includes CRT-ICD) umax 5 series, Lumax 3 series, Kronos, Lumos, Xelos, Lexos, Belos, Tachos (360342, 360347, 355262, 355263, 347406, 360344, 360345, 360348, 360340, 360341, 360346, 355270 355271, 355266, 355267, 353219, 353220, 350822, 347000, 347001, 346998, 346999, 342873, 342874, 338170, 338171, 122499, 335572) PRIZM/2/HE (1850, 1855, 1851, 1856, 1852, 1857, 1853, 1858, 1860, 1861); VITALITY/2/DS/EL/HE (1870, 1871, 1872, A135, A155, 1165, T1177, 1125, T135, T127); RENEWAL/3/HE (H210, H215, H217, H219, H135, H170, H175, H177, H179); CONFIENT, LIVIAN (E030, H220, H225, H227, H229); CONGNIS/TELIGEN (E102, £110, N118, N119)
Appendix 5B ‘ICD magnet response (includes CRT-ICD) umax 5 series, Lumax 3 series, Kronos, Lumos, Xelos, Lexos, Belos, Tachos (360342, 360347, 355262, 355263, 347406, 360344, 360345, 360348, 360340, 360341, 360346, 355270 355271, 355266, 355267, 353219, 353220, 350822, 347000, 347001, 346998, 346999, 342873, 342874, 338170, 338171, 122499, 335572) PRIZM/2/HE (1850, 1855, 1851, 1856, 1852, 1857, 1853, 1858, 1860, 1861); VITALITY/2/DS/EL/HE (1870, 1871, 1872, A135, A155, 1165, T1177, 1125, T135, T127); RENEWAL/3/HE (H210, H215, H217, H219, H135, H170, H175, H177, H179); CONFIENT, LIVIAN (E030, H220, H225, H227, H229); CONGNIS/TELIGEN (E102, £110, N118, N119)