Risk Incidence of sepsis within USA: Approximately 1 million per year and increasing. Severe sepsis and septic shock are associated with high morbidity and mortality, and septic shock is the most common cause of death among critically ill pts in…
Risk In USA, over 3 million people have an implantable cardiac PM, and more than 400,000 PMs are implanted annually. In addition to a right atrial and right ventricular lead, some PM pts with cardiomyopathy also have left ventricular pacing…
Epidemiology In USA, more than 300,000 people have an ICD and more than 180,000 ICDs are implanted annually, based on CMS registry data. Given current implant and survival rates, nearly 700,000 people in USA may have an ICD by the…
Risk Incidence in USA: Unknown Present in a variety of disease states, from mild to severe systemic illness Perioperative Risks Hemodynamic instability (due to arteriolar vasodilation and decreased cardiac output) Hyperkalemia Insulin resistance and hyperglycemia Stimulation of inflammation and suppression…
Case Synopsis A 55-year-old man with a Medtronic Micra Leadless pacemaker (programmed VVIR) undergoes right total hip arthroplasty under general anesthesia. His past medical history is significant for atrial fibrillation and complete heart block. In the operating room the anesthesiologist…