RECOMMENDATIONS FOR PERIOPERATIVE MANAGEMENT OF PATIENTS WITH CARDIAC IMPLANTABLE ELECTRONIC DEVICES/PREPORUKE ZA PERIOPERACIJSKI POSTUPAK KOD BOLESNIKA KOJI IMAJU UGRA[ETH]ENE KARDIOVASKULARNE IMPLANTABILNE ELEKTRONICKE URE[ETH]AJE

Four thousand cardiac implantable electronic devices (CIED) are implanted yearly in Croatia with constant increase. General anesthesia and surgery carry some specific risk for the patients with implanted CIEDs. Since most of the surgical procedures are performed in institutions without reprogramming devices available, or in the periods when they are unavailable, these guidelines aim to standardize the protocol for perioperative management of these patients. With this protocol, most of the procedures can be performed easily and, more importantly, safely in the majority of surgical patients.U Republici Hrvatskoj na godinu se implantira oko 4000 kardiovaskularnih implantabilnih uredaja i taj broj je u stalnom porastu. Anestezija i kirurski zahvati kod bolesnika s ugradenim implantabilnim uredajima nose odredene rizike. Ove smjernice su nastale zato sto se vecina zahvata izvodi u ustanovama bez mogucnosti testiranja i reprogramiranja navedenih uredaja ili u vrijeme kada to nije dostupno. Cilj je standardizirati perioperacijsku skrb ovih bolesnika te uciniti kirurske zahvate dostupnima i sigurnima za veliku vecinu ovih kirurskih bolesnika u svim ustanovama u Hrvatskoj.Key words: Croatia; Anesthesia, General; Cardiac Resynchronization Therapy Devices; Guideline; Perioperative CareKljucne rijeci: Hrvatska; anestezija, opca; srcana resinkronizacijska terapija, uredaji; smjernice; perioperativna skrb