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Letters to the Editor: Letter to the Editor

In Response

Izrailtyan, Igor MD; Schiller, Robin J. DMD; Katz, Robert I. MD; Almasry, Ibrahim O. MD

Author Information
doi: 10.1213/ANE.0b013e31829ec453
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In Response

We agree with Markan et al.1 regarding the need and urgency to incorporate focused education on cardiovascular implantable electronic devices (CIEDs) into the curriculum of anesthesiology residency programs. The number of patients with CIEDs is growing worldwide,2 and such patients are no longer uncommon in the operating room. With CIED technology becoming more sophisticated and applicable to many more cardiac pathologies, the need for anesthesiologists to be aware of current developments is reflected in the recent American Society of Anesthesiologists and Heart Rhythm Society guidelines.3,4 Bringing CIED technology education to residency training will ensure that graduating anesthesiologists are prepared to manage patients in whom these varied devices have been implanted. Anesthesiology residency programs can also take advantage of the expertise and facilities of the Cardiac Electrophysiology team to assist in training of the anesthesiology residents.

At the same time, we also agree with the editorial written by Thompson and Mahajan5 on the need to improve postresidency continuing medical education for practicing anesthesiologists to address CIED developments. Such an advanced technological field creates an excellent milieu for the application of modern educational instruments, such as simulators and online learning. In a time when the tools of the electrophysiology, echocardiography, and cardiac catheterization world are entering the operating room, anesthesiologists must take their own proactive steps toward learning and becoming adept in managing patients dependent on these evolving technologies.

Igor Izrailtyan, MD

Department of Anesthesiology

Stony Brook University Medical Center

Stony Brook, New York

[email protected]

Robin J. Schiller, DMD

Temple University School of Medicine

Philadelphia, Pennsylvania

Robert I. Katz, MD

Department of Anesthesiology

Stony Brook University Medical Center

Stony Brook, New York

Current Affiliation: Department of Anesthesiology

University of Florida

Gainesville, Florida

Ibrahim O. Almasry, MD

Section of Cardiac Electrophysiology

Stony Brook University Medical Center

Stony Brook, New York

REFERENCES

1. Markan S, Youngblood S, Wright C, Palvadi RR, Porter J. Paucity of education regarding pacemakers/cardiovascular implantable electronic devices in anesthesiology training programs is a patient safety hazard. Anesth Analg. 2013;117:746––7
2. Mond HG, Proclemer A. The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009—a World Society of Arrhythmia’s project. Pacing Clin Electrophysiol. 2011;34:1013–27
3. Crossley GH, Poole JE, Rozner MA, Asirvatham SJ, Cheng A, Chung MK, Ferguson TB Jr, Gallagher JD, Gold MR, Hoyt RH, Irefin S, Kusumoto FM, Moorman LP, Thompson A. The Heart Rhythm Society (HRS)/American Society of Anesthesiologists (ASA) Expert Consensus Statement on the perioperative management of patients with implantable defibrillators, pacemakers and arrhythmia monitors: facilities and patient management this document was developed as a joint project with the American Society of Anesthesiologists (ASA), and in collaboration with the American Heart Association (AHA), and the Society of Thoracic Surgeons (STS). Heart Rhythm. 2011;8:1114–54
4. American Society of Anesthesiologists. . Practice advisory for the perioperative management of patients with cardiac implantable electronic devices: pacemakers and implantable cardioverter defibrillators: an updated report by the american society of anesthesiologists task force on perioperative management of patients with cardiac implantable electronic devices. Anesthesiology. 2011;114:247–61
5. Thompson A, Mahajan A. Perioperative management of cardiovascular implantable electronic devices: what every anesthesiologist needs to know. Anesth Analg. 2013;116:276–7
© 2013 International Anesthesia Research Society