Document Detail

Dermatologic electrosurgery in patients with implantable cardioverter-defibrillators and pacemakers.
MedLine Citation:
PMID:  9491118     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Electrosurgery is frequently employed in the treatment of skin cancer and other dermatologic conditions in the elderly. Implantable cardioverter-defibrillators (ICDs) and pacemakers are most commonly seen in this older population. Potentially hazardous electrosurgical interference exists with the function of ICDs and pacemakers in this setting. OBJECTIVE: Our goal is to review the potential hazards of electrosurgery in patients with ICDs and pacemakers and to suggest a perioperative management plan. METHODS: Review of the medical literature on electrosurgical interference with ICDs and pacemakers was accomplished in addition to a case report of ventricular tachycardia during Mohs surgery on a patient with an ICD. RESULTS: Multiple case reports and reviews from the nonder-matologic literature demonstrate that a real hazard exists. CONCLUSION: Knowledge of the potential electrosurgical interference with ICDs and pacemakers is required to perform these procedures safely. A perioperative management plan is suggested.
J G LeVasseur; C D Kennard; E M Finley; R K Muse
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  24     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  1998 Feb 
Date Detail:
Created Date:  1998-03-20     Completed Date:  1998-03-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  233-40     Citation Subset:  IM    
Department of Dermatology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas, USA.
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MeSH Terms
Aged, 80 and over
Carcinoma, Basal Cell / surgery
Carcinoma, Squamous Cell / surgery
Defibrillators, Implantable*
Electrosurgery* / adverse effects,  contraindications
Facial Neoplasms / surgery
Mohs Surgery
Pacemaker, Artificial*
Preoperative Care
Skin / surgery*
Skin Neoplasms / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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