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Anesthetic Management of a Laboring Patient With a Closed-Loop Stimulation Pacemaker: A Case Report.
AANA J
December 2019
has been a practicing nurse anesthetist for approximately 27 years. She founded the MSMP Anesthesia Services, L.L.C. Columbia, Missouri, providing services primarily in critical access hospitals, ASCs, and office-based settings.
A new generation of cardiac implantable devices, known as Closed Loop Stimulation pacemakers, are now utilized to reduce episodes of bradycardia, syncope, and tachycardia in pregnant women. The device functions differently than conventional pacemakers by responding to changes in the patient`s cardiac output and heart rate based on physiologic demands and acute mental stress. Increased metabolic demands, including physiologic stress often accompany pregnancy, labor, and delivery.
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