• Anesthesia and analgesia · Feb 2018

    Review

    Pearls of Wisdom for High-Risk Laser Lead Extractions: A Focused Review.

    • Lilibeth Fermin, Ralf E Gebhard, Ryan Azarrafiy, and Roger Carrillo.
    • From the Department of Anesthesiology, Cleveland Clinic Florida, Weston, Florida.
    • Anesth. Analg. 2018 Feb 1; 126 (2): 406-412.

    AbstractDue to new indications and improved technology, the incidence of laser lead extraction (LLE) has significantly increased over the past years. While LLE has been well studied and proven to be safe and effective, only few studies are geared toward the anesthesiologist's role during high-risk LLEs. This article utilized both a focused review and authors' experience to investigate anesthetic protocols during LLEs. Through this review, we recommend best practices for the anesthesiologist including appropriate procedure location, onsite availability of a cardiac surgeon, availability of a cardiopulmonary bypass machine, and intraoperative use of echocardiography to detect and address potential complications during high-risk LLEs.

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