British Journal of Anaesthesia: Volume 107, Issue suppl 1 p116-126
Many anaesthesia practitioners caring for patients with a cardiac implantable electronic device (CIED) lack the knowledge, experience, and requisite programming devices to independently manage these patients perioperatively. A recently updated ASA task force Practice Advisory presents expert opinion regarding the perioperative management of patients with CIEDs, and the Heart Rhythm Society (HRS) recently published a consensus statement on this subject in collaboration with the ASA, American Heart Association (AHA), and Society of Thoracic Surgeons (STS).
The abstract is free and the full text article may be requested as an inter library loan.
Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine:
December 2011 – Volume 10 – Issue 4 – pp 159-163
A Critical Pathway for the Frail Elderly Cardiac Patient
Wit, Mirjam MSc; Schaap, Annet MSc; Umans, Victor MD, PhD, FACC
Background: The medical community needs to better respond to the predictable complexities associated with admission of frail and elderly cardiac patients who may need specific attention and care programs. The nurse practitioner can play an important role to continue and coordinate nursing and medical care. We propose a new critical pathway designed to improve cardiac and nursing care for frail elderly cardiac patients admitted with heart failure or atrial fibrillation.
Method: The critical pathway is developed by the nurse practitioner who will act as a pathway coordinator and take care of the medical care of these patients in a teaching hospital setting. This critical pathway is applied to all patients aged >75 years who are admitted for heart failure or atrial fibrillation.