What is an Implantable Cardioverter-Defibrillator?

CMS received a request to examine a list of ICD–10–PCS procedure code combinations that describe procedures involving pacemakers to determine if some procedure code combinations were excluded from the ICD–10 MS–DRG assignments for MS–DRGs 242, 243, and 244 (Permanent Cardiac Pacemaker Implant with MCC, with CC, and without CC/MCC). CMS proposed to modify the ICD–10 MS– DRG logic so that if certain ICD–10– PCS procedure codes describing procedures involving pacemaker devices listed is reported in combination with one of the ICD–10–PCS procedure codes describing procedures involving certain leads, the case would be assigned to MS–DRGs 242, 243, and 244. CMS also examined their GROUPER logic for MS–DRGs 258 and 259 (Cardiac Pacemaker Device Replacement with and without MCC, respectively). Assignments of cases to these MS–DRGs also include qualifying ICD–10–PCS procedure code combinations describing procedures that involve the removal of pacemaker devices and the insertion of new devices. They thought their logic was overly complex and felt a more simplified approach would be to create a list of all ICD–10–PCS procedure codes describing procedures involving cardiac pacemaker device insertions.

The device is needed when a person’s heart fails to operate correctly. A person needing an artificial heart would be extremely ill that is they would not be able to function like an everyday person. E.g. – walking.

A young professional hockey player collapsed during a game that had no previous symptoms or problems before the collapse. People began CPR and used an automated external defibrillator (AED) 3 times before paramedics arrived. This ultimately prevented him from dying from sudden cardiac arrest. He received an implantable cardioverter-defibrillator to correct his heart rhythms and was released without medications.

With the constant change in the medical field, it is mandatory for all nurse anesthetists to keep up with everything to give the best care. The newest of these technologies is the mobile stroke treatment unit. Strokes have a profound impact on someone’s health. The consequences of a stroke can be devastating. In order to improve stroke outcomes, many hospitals in Germany and the United States are now using specially equipped mobile stroke treatment ambulances with all the necessary elements for the evaluation and treatment of strokes. Another new technology is the leadless cardiac pacemaker. The leads in pacemakers detect a patient’s heart rhythm and relay the information to the generator and enclosed computer chip, which then adapts its electrical responses to the patients’ needs so the heart beats on a normal rate. Over time, the leads break and wear out, insulation around it can crack, and could become infectious. A wireless cardiac pacemaker that’s no bigger than a large vitamin is 10 percent the size of a traditional pacemaker. In the space of 15 to 30 minutes, the miniaturized battery-controlled device can be implanted directly in the heart without surgery. This pacemaker nanotechnology has eliminated surgery, lumps and scars on patient’s chest, restrictions on daily physical activities, as well as any complications stemming from any malfunctioning insulated connecting leads. With all these new technologies coming into play

Comorbidities increase in the older adult because of anatomical and physiological changes that occur with aging. Frequent cardiovascular coexisting diseases include, hypertension, coronary artery disease, congestive heart disease, and myocardial ischemia. Additionally, calcification of the conduction system with loss of sinoatrial node cells causes a higher percentage of this population to require pacemakers or internal defibrillators. In patients with implanted devices, a focused preoperative evaluation should establish the type of device, when the device was interrogated last, and the battery life. Obtaining diagnostic tests such as electrocardiograms and x-rays is reasonable and expected. The provider should prepare beforehand to have an

Guy’s journey began at John Hopkins University in the laboratory of William Kouwenhoven. He was working to get a PhD in electrical engineering. Guy always wanted to discover something that would change the world, and make it a better place. One day, William Kouvenhoven’s laboratory received funding to to develop a portable defibrillator that they would use to to treat people who have been electrocuted. Due to Guy’s persistence he began to work on how to restart a trembling or stopped heart. He worked alongside Dr. Jude a cardiac surgeon, they thought that if they could temporarily raise blood pressure with heavy copper electrodes, that they could not only save one life, but many in the future. Dr. Jude

Use of ECPR is indicated in patients failing to respond to conventional cardiopulmonary resuscitation (CCPR) with a variety of disease states including CA due to refractory shock, overdose, hypothermia with arrhythmias, and as a bridge to therapies including percutaneous coronary intervention (PCI), heart transplant, or placement of a left ventricular assist device (LVAD). While there are two methods to implement the ECPR circuit, venous-arterial access is the modality that is most commonly utilized in the emergent

6- The correct use of a Defibrillator. 7- Know the recovery position and how to place a patient in it.

This retrospective analysis is on a class III medical device called the Micra Transcatheter Pacing System (TPS). The device is created by Medtronic Incorporated which is a company that focuses primarily on devices for cardio and vascular, restorative therapies, diabetes, and minimally invasive therapies. The target customers are those who have slow or irregular heartbeats that need to be monitored. This pacemaker is useful for patients who could have difficulties with the placement of traditional pacemakers, or would be better off with a single chamber pacemaker. The underlying technology used is a 1in long pacemaker that is placed directly into the right ventricle through the femoral artery using

The increase of the development of new technologies in the society are becoming more essential in many ways. The updated and upgraded tools are more influential and significant to resolve a difficult cases. Healthcare field are using a greater amount of usage with the new technologies to further their knowledge, become more accurate, and provide a successful result. The advancement of any technologies in all area must consider the great outcome for the majority. The MRI’s and Pacemaker have made an important role in the development of technologies. There are some positive and negative effect that these new technologies to be considered.

These include infection, occurrence of inappropriate shocks and the potential of inducing, instead of terminating ventricular arrhythmias.10, 11 On top of this, younger patients need more device replacements. Due to their active life style they are more likely for lead fractures, causing more frequently inappropriate shocks.12 Besides these complications, patients are experiencing fear for (in)appropriate discharge and they are disqualified for competitive sports participation.13 All in all, this raises the question whether ICD-treatment in young people is the most qualified one. This dilemma is also postulated in the following

assist device (VAD) is a mechanical pump that’s used to support heart function and blood

However, 1st year survival in LVAD patient is higher than 85%. Unfortunately, 69.8% of the LVAD patients get readmitted to hospital in first 6 months after the device implantation (Topkara et al., 2010). LVAD patients live with this device as the last option unless they get new hearts (Rowland et al., 2012). If the device malfunctions or stop their lives can end immediately (Rowland et al., 2012). Therefore, the focus has to be on their follow up cares after they get discharged from the hospital (Banbury et al., 2003).

“Your heart has stopped,” Death says, breaking the silence. “The medics are pulling out their defibrillator.” I rest my hands over my heart, feeling a prick of anxiety. “Well? Is it working?”

Defibrillators are devices that deliver a dose of electrical energy (electrical shock) to an afflicted heart in order to carry out defibrillation. Defibrillation is achieved through an electric shock to the heart which helps to re-establish normal rhythms in a heart having dangerous arrhythmia (abnormal heart rhythm), ventricular fibrillation (heart beats with rapid, erratic electrical impulses) or in cardiac arrest. The most used type of defibrillator in the recent world is AEDs. Automated external defibrillators (AEDs) are small portable, lightweight devices that use electrodes (sticky pads with sensors) attached to the chest of a patient to deliver the electric shock needed to revive normal heart rhythm.