Electromagnetic interference caused by common surgical energy-based devices on an implanted cardiac defibrillator

Paniccia, Alessandro; Rozner, Marc A.; Jones, Edward L.; Townsend, Nicole T.; Varosy, Paul D.; Dunning, James E.; Girard, Guillaume; Weyer, Christopher; Stiegmann, Gregory V.; Robinson, Thomas N.

doi:10.1016/j.amjsurg.2014.09.011

Cited by 24 publications

(8 citation statements)

References 9 publications

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“…Not discussed in the scenario is the potential for electromagnetic interference with monopolar ESU and implanted devices, such as cardiac implanted electronic devices and nerve stimulators. Monopolar energy is associated with the improper firing of implanted electronic devices such as stimulators and cardiac defibrillators or pacemakers 10 . Clinicians should consider the use of bipolar or ultrasonic devices rather than monopolar devices to prevent interference with implanted devices 5,10 .…”

Section: Key Takeaways Discussionmentioning

confidence: 99%

“…An additional precaution for the use of monopolar energy and an ESU dispersive pad is consideration of characteristics of the energy generated by the monopolar device. Monopolar energy will take the shortest direct route from the surgery site to the dispersive pad, so perioperative personnel must consider placing the pad in an area that does not permit the energy to cross over the leads, generator, or other conductive materials 10 …”

Section: Key Takeaways Discussionmentioning

confidence: 99%

“…Monopolar energy is associated with the improper firing of implanted electronic devices such as stimulators and cardiac defibrillators or pacemakers 10 . Clinicians should consider the use of bipolar or ultrasonic devices rather than monopolar devices to prevent interference with implanted devices 5,10 . The use of magnets to prevent misfiring of implanted cardiac devices is a common practice; unfortunately, not all implanted devices respond to magnets in the same way.…”

Section: Key Takeaways Discussionmentioning

confidence: 99%

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Guideline Implementation: Energy‐Generating Devices, Part 1‐Electrosurgery

Eder¹

2017

AORN Journal

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Energy-generating devices are standard equipment in the surgical suite, with electrosurgical units being the most common type of electrical device used in the OR. Prevention of injuries to patients and personnel related to the use of energy-generating devices is a key component of the perioperative nurse's role. The AORN "Guideline for safe use of energy-generating devices" provides guidance on the use and maintenance of devices that deliver energy in the forms of radiofrequency waves, ultrasound waves, or lasers. This article focuses on key points of the guideline, which address precautions specific to electrosurgical units, patients with implanted electronic devices, and minimally invasive surgery, and documentation of the use of energy-generating devices. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

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Section: Key Takeaways Discussionmentioning

confidence: 99%

Section: Key Takeaways Discussionmentioning

confidence: 99%

Section: Key Takeaways Discussionmentioning

confidence: 99%

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Guideline Implementation: Energy‐Generating Devices, Part 1‐Electrosurgery

Eder¹

2017

AORN Journal

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“…In bipolar electrosurgery, current flows between the two electrodes of the device, and the stray current is minimal [36,37]. If the monopolar device is necessary, the dispersion pad should be placed in the appropriate place closest to the surgical site, with the other magnetic devices outside the pathway [38].…”

Section: Safetymentioning

confidence: 99%

Is electrosurgery a revolution? Mechanism, benefits, complications, precautions

Özdemir¹,

Karayiğit²,

Karakaya³

et al. 2020

jpt

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“…Due to the monopolar circuitry and high voltage use, APC creates high risk EMI with the CIEDs. In a study that measured EMI of multiple energy-based devices on ICD, EMI from APC was measured at 2.58±0.34 mV and classified as "high risk" (37). Similar to electrocautery, EMI can result in inhibition of pacing, device reset, inappropriate shock or damage to the CIED circuitry.…”

Section: Argon Plasma Coagulation (Apc)mentioning

confidence: 99%

Management of cardiac implantable electronic devices during interventional pulmonology procedures

Kumar¹,

Dhillon²,

Patel³

et al. 2017

J. Thorac. Dis.

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An increasing number of patients are receiving cardiac implantable electronic devices (CIED) now. Many of them need pulmonary procedures for various indications including, but not limited to, lung cancer and benign endobronchial lesions. Over the last two decades, interventional pulmonology (IP) has expanded its scope to include various modalities that use heat and electrical energy and in the process, create electromagnetic field in the vicinity. This raises concerns for electromagnetic interference (EMI) causing abnormal behavior in the CIEDs. While guidelines and recommendations on the peri-procedural management of CIEDs do exist, none of them directly address the pulmonary procedures. In this paper, we strive to review the available literature pertaining to the management of CIEDs in the context of EMI caused by the various IP procedures.

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Electromagnetic interference caused by common surgical energy-based devices on an implanted cardiac defibrillator

Cited by 24 publications

References 9 publications

Guideline Implementation: Energy‐Generating Devices, Part 1‐Electrosurgery

Guideline Implementation: Energy‐Generating Devices, Part 1‐Electrosurgery

Is electrosurgery a revolution? Mechanism, benefits, complications, precautions

Management of cardiac implantable electronic devices during interventional pulmonology procedures

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