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enseignants",{"title":54,"url":55},{"title":57,"url":58},{"title":186,"group":48,"menu":187},"Produit",[188,189,190,191,192,193,194],{"title":38,"url":7},{"title":65,"url":66},{"title":68,"url":69},{"title":71,"url":72},{"title":74,"url":75},{"title":15,"url":77},{"title":195,"url":10},"Tarification",{"title":197,"group":48,"menu":198},"Mentions légales",[199,200,201,202,203],{"title":197,"url":84},{"title":86,"url":87},{"title":89,"url":90},{"title":92,"url":93},{"title":95,"url":96},{"title":205,"group":48,"menu":206},"Service client",[207,208,209],{"title":101,"url":102},{"title":104,"url":105},{"title":107,"url":108},{"content":211,"related":286,"meta":357,"internal":367},{"title":212,"leadIn":213,"category":214,"elements":217,"becomeAnExpert":251,"author":273,"readDuration":284,"readDurationFormatted":285},"Managing the potential complications of ICM implantation","Learn about the five main risks associated with ICM implantation and how to deal with them.",{"id":215,"name":216},1,"Course previews",[218,229,234,239,246],{"type":219,"data":220},"video",{"readDurationInSeconds":221,"video":222},0,{"platform":223,"name":224,"url":225,"size":226},"YouTube","Managing complications of implantation","https:\u002F\u002Fwww.youtube.com\u002Fwatch?v=Rrj2q78Yyj4",{"width":227,"height":228},200,113,{"type":230,"data":231},"free_text",{"readDurationInSeconds":232,"text":233},12,"\u003Cp>An ICM implantation comes with potential risks, and creating a safety checklist beforehand is a great way to prepare for them. In this video, from our Insertable Cardiac Monitoring Essentials course, you'll learn about the five main risks associated with ICM implantation and how to deal with each of them, should one arise.\u003C\u002Fp>",{"type":230,"data":235},{"readDurationInSeconds":236,"title":237,"text":238},18.133333333333333,"Join our Insertable Cardiac Monitoring Essentials course now!","\u003Cp>Arrhythmias can be difficult to detect. Insertable cardiac monitors (ICMs) can spot rhythm problems when other devices can’t. In our \u003Cstrong>\u003Ca href=\"https:\u002F\u002Fwww.medmastery.com\u002Fcourse\u002Finsertable-cardiac-monitoring-essentials\">Insertable Cardiac Monitoring Essentials\u003C\u002Fa> \u003C\u002Fstrong>course, you’ll learn about the indications for an ICM implant, the different types of ICMs available, and the techniques used to insert and explant these devices. You’ll also cover data download methods, troubleshooting, and how to make the most out of your ICM devices.\u003C\u002Fp>",{"type":240,"data":241},"cta",{"readDurationInSeconds":242,"text":243,"buttonText":244,"buttonUrl":245},3.466666666666667,"Become a great clinician with our video courses and workshops","Start learning for free","https:\u002F\u002Fwww.medmastery.com\u002Fuser\u002Fregister",{"type":230,"data":247},{"readDurationInSeconds":248,"title":249,"text":250},143.2,"Video transcript","\u003Cp>The best way to minimize risk during an ICM insertion procedure is by careful patient preparation. For this reason, we recommend that you use a safety checklist to anticipate problems that may occur. There is always a risk of allergy or anaphylaxis during an ICM insertion procedure. Patients may have an allergy to be antiseptic, used to clean the skin at the start of a procedure.\u003C\u002Fp>\u003Cp>They may have an allergy to the local anesthetic agent such as light again or they may have an allergy to prophylactic antibiotics if you choose to use these. If you administer analgesics to treat procedural pain, the patient may have a reaction to these or they may have an allergy to one of the device components.\u003C\u002Fp>\u003Cp>Such as for titanium casing. There's also a risk of allergic reaction to any wound dressings that you use. And even a risk of allergic reaction to the latex in your surgical gloves is therefore prudent to specifically ask if the patient is known to have any previous history of allergic reactions before starting your ICM insertion procedure.\u003C\u002Fp>\u003Cp>As with any invasive procedure, ICM insertion carries a risk of bleeding and hematoma. To minimize the risk of this, it's important that we appropriately assess the patient's calculation status prior to undergoing the procedure itself. The likelihood of bleeding complications is increased by several factors. For example, always check whether your patient is taking any anti platelets or anticoagulant medication.\u003C\u002Fp>\u003Cp>Single antiplatelet medications seldom causes problems and can be continued for procedure. For patients on jewel anti platelets for risk of bleeding needs to be weighed carefully against the risk of withholding one of the agents. For patients taking warfarin, ICM insertion can take place as long as the international normalized ratio or INR is no greater than free.\u003C\u002Fp>\u003Cp>For patients anticoagulated with direct oral anticoagulants or doacs interruption of these drugs is not usually necessary for the insertion procedure. Don't forget also about simple procedures that can improve hemostasis. For example, at the end of the ICM insertion procedure, apply pressure over the insertion site and then sure but adequate hemostasis has been achieved before closing the wound.\u003C\u002Fp>\u003Cp>Simple measures such as best can significantly reduce the likelihood of bruising and hematoma. with adequate local anesthesia, it's unusual for patients to experience much pain during or after an ICM insertion procedure. nonblack. Nonetheless, if patients do experience significant discomfort, then simple analgesia will usually suffice. As with any invasive procedure, there is always a risk of infection.\u003C\u002Fp>\u003Cp>To reduce the risk of bacterial infection, one might consider the use of antibiotic prophylaxis for pros and cons of which have been covered in an earlier lesson. There is no consensus on the use of antibiotic prophylaxis for ICM insertion procedures. And this decision is left to clinician discretion according to local protocols, the theoretical risk of reducing the risk of device infection should be weighed against the risk of allergy or anaphylaxis, antibiotic resistance and be increased costs for procedure as a whole.\u003C\u002Fp>\u003Cp>In the effort to prevent procedural infection, careful attention to pre procedural skin preparation with an antiseptic agent is also important. Another risk of ICM insertion is that the device will erode back through the wound. In other words, the device can basically end up poking out of the skin. To reduce the risk of device erosion, it's essential to ensure that the device is deployed correctly.\u003C\u002Fp>\u003Cp>And this means ensuring that a typical device lies around 10 millimeters from the device insertion point. This ensures that there is some leeway to reduce the likelihood that the device will work its way back out of the wound. 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Learn to recognize and report it with exercise stress ECG.",{"alt":292,"title":293,"size":294,"location":296},"Illustration of the heart's coronary vasculature showing large coronary arteries and the extensive network of smaller vessels affected in INOCA (ischemia with nonobstructive coronary arteries).","",{"width":295,"height":295},1200,{"bucket":297,"key":298},"public-drupal-medmastery-assets-production","\u002F2026-05\u002FC17(1)_magazine image_0.png",{"id":300,"title":301,"relativeURL":302,"image":303,"professionLong":304,"profession":305,"weight":271},1563,"Franz Wiesbauer, MD MPH","\u002Fteachers\u002Ffranz-wiesbauer-md-mph","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cef0-41ee-4005-9e4a-d8711c816401","Franz is the founder and CEO of Medmastery. He is an internist with a specialization in cardiology and a master’s in public health from Johns Hopkins University.",{"name":306},"Internist","\u002Fmagazine\u002Fexercise-stress-ecg-inoca",141,"3m",{"created":311,"updated":312,"published":313},1778115738,1778118425,1778118255,{"id":315,"title":316,"text":317,"image":318,"author":324,"path":326,"readDuration":327,"readDurationFormatted":328,"internal":329},1348,"Hyperlipidemia screening: who, when, & what to measure","Testing for hyperlipidemia can help you mitigate your patients' cardiovascular risk. Learn who to screen and when, which measures to request, and how to stratify risk.",{"alt":319,"title":293,"size":320,"location":322},"Lipid panel blood sample tubes used to test for hyperlipidemia in a laboratory setting",{"width":321,"height":321},600,{"bucket":297,"key":323},"\u002F2026-04\u002FC121_magazine image.png",{"id":300,"title":301,"relativeURL":302,"image":303,"professionLong":304,"profession":325,"weight":271},{"name":306},"\u002Fmagazine\u002Ftest-for-hyperlipidemia",246,"5m",{"created":330,"updated":331,"published":332},1777403036,1777572381,1777412421,{"id":334,"title":335,"text":336,"image":337,"author":342,"path":351,"readDuration":352,"readDurationFormatted":285,"internal":353},1347,"Outpatient care for COPD exacerbations","Most acute COPD exacerbations can be managed with outpatient treatment. Learn how to treat mild and moderate COPD exacerbations—and when to escalate care.",{"alt":338,"title":293,"size":339,"location":340},"Older patient using a handheld nebulizer to inhale bronchodilator medication during an acute COPD exacerbation",{"width":321,"height":321},{"bucket":297,"key":341},"\u002F2026-04\u002FC133(4)_ exacerbations_magazine image.png",{"id":343,"title":344,"relativeURL":345,"image":346,"professionLong":347,"profession":348,"weight":350},5365,"Siamak Moayedi, MD","\u002Fteachers\u002Fsiamak-moayedi-md","https:\u002F\u002Fmedmastery-backend-prod-kjbeds.s3.eu-west-1.amazonaws.com\u002Fmedia\u002Fimages\u002F9c43cf02-1064-4074-817b-0eb5de6ded74","Professor and Director of Medical Student Education, University of Maryland and Course Director, Essential and Critical Procedures, Emergency Medicine.",{"name":349},"Emergency medicine physician",1533,"\u002Fmagazine\u002Facute-copd-exacerbation-treatment",191,{"created":354,"updated":355,"published":356},1776705362,1776710540,1776710541,{"seo":358,"og":360},{"title":359,"description":213},"Managing the potential complications of ICM implantation | Medmastery",{"title":359,"description":213,"image":361},{"alt":293,"title":293,"size":362,"location":365},{"width":363,"height":364},1216,672,{"bucket":297,"key":366},"\u002Fmigrated-images\u002FScreen Shot 2019-11-25 at 4.53.47 pm.png",{"id":368,"created":369,"updated":370,"published":369},327,1573570127,1655189586]