Key result
Surgical electrocautery linked to pacemaker damage, reprogramming, and ventricular fibrillation.
Why the study?
What are the adverse effects of electrocautery on pacemakers and how should paced patients be managed perioperatively?
Population
3 paced patients undergoing surgery involving electrocautery
Design
Case_series
Authors
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Urges pre- and postoperative pacemaker interrogation with electrocautery; case reports leave optimal protocols open.
Case Report (n=3)
What are the adverse effects of electrocautery on pacemakers and how should paced patients be managed perioperatively?
Close perioperative monitoring, including preoperative evaluation and postoperative checks, is essential for paced patients undergoing surgery with electrocautery to prevent and correct life-threatening pacemaker malfunctions.
Levine et al. (1986) conducted a case report in Paced patients undergoing surgery with electrocautery (n=3). Electrocautery was evaluated on Pacemaker malfunction or adverse effects (damage to pulse generator, reprogramming, changes in capture threshold, ventricular fibrillation). Electrocautery during surgery can induce significant detrimental effects in paced patients, including pacemaker damage, reprogramming, and ventricular fibrillation.
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