Electrosurgery in Patients With Implantable Electronic Cardiac Devices (Pacemakers and Defibrillators)

被引：6
|
作者：
Garcia Bracamonte, B. [1 ]
Rodriguez, J. [2 ]
Casado, R. [3 ]
Vanaclocha, F. [1 ]
机构：
[1] Hosp Univ 12 Octubre, Serv Dermatol, Madrid, Spain
[2] Hosp Univ 12 Octubre, Serv Cardiol, Unidad Marcapasos, Madrid, Spain
[3] Hosp Univ 12 Octubre, Serv Anestesia, Madrid, Spain
来源：
ACTAS DERMO-SIFILIOGRAFICAS | 2013年 / 104卷 / 02期
关键词：
Electrosurgical unit; Electrosurgery; Electromagnetic interference; Pacemaker; Defibrillator;
D O I：
10.1016/j.ad.2012.09.012
中图分类号：
R75 [皮肤病学与性病学];
学科分类号：
100206 ;
摘要：
The electrosurgical unit is a very useful tool widely used in dermatology to treat benign and malignant skin lesions and to achieve hemostasis during surgery. However, precautions are required when this technique is used in patients with implantable electronic cardiac devices (IECD), such as pacemakers and defibrillators, because electromagnetic interference produced by the tool may cause such devices to malfunction. Before using electrosurgery in patients with IECDs, it is essential to ascertain the type of implanted device and the patient's level of dependence on it. The location of the skin lesion to be treated with respect to the device should also be assessed. Bipolar pacemakers are more resistant to interference. Appropriate monitoring and the use of bipolar forceps are recommended. (C) 2012 Elsevier Espana, S.L. and AEDV. All rights reserved.
引用
收藏
页码：128 / 132
页数：5
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