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October 2021 Br J Cardiol 2021;28:128–133 doi:10.5837/bjc.2021.043

Pain during cardiac implantable electronic device implantation

David G Wilson, Nicki Brewster, Robin J Taylor, Amelia Trevelyan, Michail Apostolakis, Deepak Goyal, Will Foster, Elaine Walklet, Eleanor Bradley

Abstract

Introduction Cardiac implant electronic devices (CIED) are undertaken under local anaesthetic by cardiologists. Patient experience is a key metric by which the delivery of healthcare is assessed, and, for CIED implantation, optimal peri-procedural pain management is central to patient experience. A recent study has highlighted that significant procedural pain in CIED implantation is underestimated and poorly predicted.1 According to the James Lind Alliance, a collaboration of British patients, carers and clinicians that set research priorities in anaesthesia and peri-operative medicine, several research themes relating to improving patient ex

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