A perioperative management algorithm for cardiac rhythm management devices: the PACED-OP protocol.

Background: Limited data are available regarding the perioperative management of cardiac rhythm management devices (CRMDs) exposed to intraoperative electromagnetic interference. We postulated that implementation of a simple, standardized approach to CRMD management using our own institution's Pacing And Cardioverting Electronic Devices peri-Operative Protocol (the PACED-OP protocol) would be associated with a reduction in the amount of device reprogramming without an increase in CRMD-related complications.

Methods: Records of patients with CRMDs undergoing 497 consecutive surgical procedures were analyzed retrospectively.