Anaes SAQs · Electricity, diathermy & theatre safety
Diathermy in the patient with a cardiac pacemaker
Final SAQ — the electromagnetic interference (the pacing inhibition, the spurious shock, the VF induction, the lead heating); the precautions (the bipolar preference, the current path away from the device, the short low-power bursts, the magnet and the defibrillator, the device-team review).
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ANZCAFRCAABAEDAIC
Prompt
Discuss the risks and the precautions for using the surgical diathermy in a patient with a cardiac pacemaker or an implantable cardioverter-defibrillator.
Question
Discuss the risks and the precautions for using the surgical diathermy in a patient with a cardiac pacemaker or an implantable cardioverter-defibrillator.
References2ShowHide
- [5]Chacko S, et al. Diathermy-induced ventricular fibrillation. J Innov Card Rhythm Manag, 2021.PMID 33654572
- [33654573]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.