Cardiopulmonary resuscitation decisions - integrated adult policy: guidance

Appendix V: Patients with Cardiac Implantable Electronic Devices (Cieds)

All Health Boards should have a CIED policy in place that provides guidance about the decision-making process involved in deactivation of such a device. Discussion about deactivating the CIED should take place as early as possible in the context of appropriate anticipatory end-of-life care planning for patients to avoid unnecessary distress. Prior to making a DNACPR decision for a patient with a CIED the local policy should be consulted so that an appropriate plan may be put in place.

Guidance on " CIEDs in people towards the end of life, during cardiopulmonary resuscitation and after death" is available from the Resuscitation Council ( UK) the British Cardiovascular Society and the National Council for Palliative Care.

https://www.resus.org.uk/defibrillators/cardiovascular-implanted-electronic-devices/.

An information leaflet for patients and carers is also available.