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A symposium, "Perioperative Management of Pacemaker Patients", was
held in May 1990 at the Karl-Franzens-Universitat,
Landeskrankenhaus Graz, Austria. The purpose of the symposium,
organized by the Departments of Anesthesiology and Surgery, was to
discuss the current status of permanent pacemaker technology,
emerging developments in this field, legal issues, indications and
methods for tempor ary perioperative pacing, and the potential for
pacemaker malfunction and adverse patient-pacemaker interactions in
perioperative and other medical settings. It was hoped that
participants would come to some consensus concerning
recommendations for satisfactory perioperative management of
pacemaker patients. This symposium was probably the fIrst occasion
ever that brought together representatives of the pacemaker
industry, implanting physicians, and physicians responsible for the
management of pacemaker patients in perioperative and other
hospital settings to discuss these important matters. Certainly, it
was recognized by all who attended that there existed at the time
little in the way of substantial knowledge of how to best manage
pacemaker patients or patients with possible indications for
temporary pacing in "unique" hospital settings especially with
exposure to electroma gnetic and other potential interference, but
in the absence of professional persons with direct knowledge of
pacemakers and related devices. Much new information was presented
and useful ideas exchanged, so that three symposium participants
were of the opinion that papers presented at this meeting should be
published as a collective work.
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