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Consensus statements for post-operative care

Consensus statements	Class	Evidence
A chest X-ray (postero-anterior and if possible lateral) should be performed in all patients after lead implantation and before discharge to rule out pneumothorax and document lead position.		E
Patients can be mobilized freely after device implantation once they have recovered from sedation.		E
Compression using sandbags, tapes or vests can be useful to avoid haematoma.^184–186		O
Patients do not need to restrict arm movements after device implantation, as this has not been shown to reduce risk of lead dislodgment and may increase shoulder pain.¹⁹⁶		O
The wound should be properly covered for 2–10 days, ideally with a waterproof dressing.		E
After discharge, patient-initiated consultation in case of problems may be sufficient in most cases (i.e. instead of routine wound inspection).¹⁹⁷		O
Patients should be seen in-office within 2–12 weeks.¹⁹⁸		O

Consensus statements	Class	Evidence
A chest X-ray (postero-anterior and if possible lateral) should be performed in all patients after lead implantation and before discharge to rule out pneumothorax and document lead position.		E
Patients can be mobilized freely after device implantation once they have recovered from sedation.		E
Compression using sandbags, tapes or vests can be useful to avoid haematoma.^184–186		O
Patients do not need to restrict arm movements after device implantation, as this has not been shown to reduce risk of lead dislodgment and may increase shoulder pain.¹⁹⁶		O
The wound should be properly covered for 2–10 days, ideally with a waterproof dressing.		E
After discharge, patient-initiated consultation in case of problems may be sufficient in most cases (i.e. instead of routine wound inspection).¹⁹⁷		O
Patients should be seen in-office within 2–12 weeks.¹⁹⁸		O

E, evidence and expert opinion; M, meta-analysis; O, observational studies; R, randomized trials.

Table

Open in new tab

Consensus statements for post-operative care

Consensus statements	Class	Evidence
A chest X-ray (postero-anterior and if possible lateral) should be performed in all patients after lead implantation and before discharge to rule out pneumothorax and document lead position.		E
Patients can be mobilized freely after device implantation once they have recovered from sedation.		E
Compression using sandbags, tapes or vests can be useful to avoid haematoma.^184–186		O
Patients do not need to restrict arm movements after device implantation, as this has not been shown to reduce risk of lead dislodgment and may increase shoulder pain.¹⁹⁶		O
The wound should be properly covered for 2–10 days, ideally with a waterproof dressing.		E
After discharge, patient-initiated consultation in case of problems may be sufficient in most cases (i.e. instead of routine wound inspection).¹⁹⁷		O
Patients should be seen in-office within 2–12 weeks.¹⁹⁸		O

Consensus statements	Class	Evidence
A chest X-ray (postero-anterior and if possible lateral) should be performed in all patients after lead implantation and before discharge to rule out pneumothorax and document lead position.		E
Patients can be mobilized freely after device implantation once they have recovered from sedation.		E
Compression using sandbags, tapes or vests can be useful to avoid haematoma.^184–186		O
Patients do not need to restrict arm movements after device implantation, as this has not been shown to reduce risk of lead dislodgment and may increase shoulder pain.¹⁹⁶		O
The wound should be properly covered for 2–10 days, ideally with a waterproof dressing.		E
After discharge, patient-initiated consultation in case of problems may be sufficient in most cases (i.e. instead of routine wound inspection).¹⁹⁷		O
Patients should be seen in-office within 2–12 weeks.¹⁹⁸		O

E, evidence and expert opinion; M, meta-analysis; O, observational studies; R, randomized trials.