Anesthetic management for AICD (automatic implantable cardioverter defibrillator) implant surgery
Ohnishi, Y.; Kikumoto, K.; Hayami, H.; Kuro, M.
Masui. Japanese Journal of Anesthesiology 45(2): 239-243
1996
ISSN/ISBN: 0021-4892 PMID: 8865716 Document Number: 468979
We studied anesthetic management and monitoring during AICD (automatic implantable cardioverter defibrillator) implantation. For anesthetic management, complete sedation and amnesia are needed during implantation procedures with rapid awakening and extubation after the surgery. We chose inhalation anesthesia supplemented with small doses of fentanyl or thiamylal. Monitoring for AICD implantation should be less invasive, continuous and rapid in responsiveness. For brain and cardiac monitoring, a combination of near infrared spectroscopy and transesophageal echocardiography was quite useful.