Anaes Vivas · Measurement & monitoring physics
Clinical viva — pacemaker patient needing diathermy
A clinical viva on diathermy-CIED interaction — pre-operative interrogation and pacing-dependence, choice of bipolar diathermy, reprogramming to asynchronous mode (or magnet), return plate placement, independent pulse monitoring, and post-operative re-interrogation.
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ANZCAFRCAABAEDAIC
Prompt
A 78-year-old man with a dual-chamber pacemaker (confirmed pacing-dependent on interrogation) is booked for a laparoscopic cholecystectomy in which the surgeon intends to use monopolar diathermy. Walk the examiner through your perioperative device management.
Stimulus
A 78-year-old man with a dual-chamber pacemaker, confirmed pacing-dependent at pre-operative interrogation, presents for a laparoscopic cholecystectomy. The surgeon plans to use monopolar diathermy. Walk the examiner through your perioperative management of his device.
References3ShowHide
- [1]Johnson V, et al. [Perioperative complications during transvenous pacemaker and defibrillator implantation]. Herzschrittmachertherapie Elektrophysiol, 2026.PMID 42262440
- [5]Fukuoka Y, et al. In Vitro Assessment of 3T MRI Effects on Non-3T-Compatible Cardiac Implantable Electronic Devices. J Cardiovasc Electrophysiol, 2026.PMID 42251742
- [8]Hu A, et al. Anesthetic Management for Epicardial Pacemaker Implantation in an Adult Patient With Uncorrected Functional Single Ventricle: Report of One Case. Acta Cardiol Sin, 2026.PMID 42350039