Anesthesia Patient Safety Podcast

#252 Managing Neurologic Stimulators: A Critical Guide for Safe Anesthesia


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The podcast explores comprehensive recommendations for managing patients with non-cardiac implantable electrical devices during surgical procedures, emphasizing preoperative assessment, device interaction prevention, and safety protocols.

• Types of devices include vagal nerve stimulators, deep brain stimulators, and spinal cord stimulators
• Preoperative evaluation is crucial for identifying devices and contacting managing clinicians
• Algorithm provided for assessing potential interactions with electrocautery, MRI, and neuromonitoring
• Diathermy is absolutely contraindicated in patients with non-cardiac implantable devices
• Critical information needed includes device type, manufacturer, lead locations, and latest interrogation results
• Recent urgent safety alert issued about medication vial coring risks with specific interim recommendations

If you have any questions or comments, please email us at [email protected]. Visit apsf.org for detailed information and check out the show notes for links to all topics discussed.

For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/252-managing-neurologic-stimulators-a-critical-guide-for-safe-anesthesia/

© 2025, The Anesthesia Patient Safety Foundation

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Anesthesia Patient Safety PodcastBy Anesthesia Patient Safety Foundation

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