• Monica W Harbell, Molly B Kraus, Andrea Lopez-Ruiz, Madina Gerasimov, and Jillian A Maloney.
• Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix.
• Curr Opin Anaesthesiol. 2024 Dec 1; 37 (6): 705711705-711.

Purpose Of ReviewThe use of implantable medical devices (IMDs) continues to increase with estimates that 10% of the American population will have an IMD in their lifetime. IMDs require special considerations for management in the perioperative period to ensure optimal patient care and patient safety. This review summarizes the current perioperative considerations for IMDs.Recent FindingsThis review summarizes perioperative recommendations for spinal cord stimulators, deep brain stimulators, peripheral nerve stimulators, vagus nerve stimulators, muscle stimulators, intrathecal drug delivery systems, implantable infusion pumps, artificial pancreas devices, continuous glucose monitors, and cochlear implants. There are multiple publications and guidelines regarding the perioperative considerations of cardiac implantable electronic devices; thus, this review excludes those devices. This review includes recommendations on management of the device perioperatively, the potential complications, and postoperative care of the device.SummaryThere are very few guidelines regarding the perioperative management of IMDs. Given the significant impact that these devices have on patient care and safety, evidence-based guidelines should be established.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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