Key result
Coagulation-mode surgical electrocautery linked to intraoperative electromagnetic interference and asystole in a DDDR pacemaker patient.
Why the study?
Electromagnetic interference in pacemakers has almost always been reported with the cutting mode of monopolar electrocautery and rarely with the coagulation mode, creating uncertainty about risks during coagulation.
Does surgical electrocautery in the coagulation mode cause electromagnetic interference in patients with pacemakers?
Comparison
Electrocautery coagulation mode vs cutting mode
Design
Case report
Authors
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Supports awareness of coagulation-mode electrocautery risks in pacemaker patients; leaves open need for prospective incidence data.
Case Report (n=1)
Does surgical electrocautery in the coagulation mode cause electromagnetic interference in patients with pacemakers?
Clinicians should be aware that the coagulation mode of electrocautery can cause electromagnetic interference and hemodynamic instability in patients with pacemakers.
Abdelmalak et al. (2011) conducted a case report in Electromagnetic interference in a cardiac pacemaker (n=1). Surgical electrocautery in coagulation mode vs. Surgical electrocautery in cutting mode was evaluated on Electromagnetic interference resulting in asystole. Surgical electrocautery in the coagulation mode caused intraoperative electromagnetic interference resulting in asystole in a patient with a DDDR pacemaker.
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