Pausing With the Gauze: Inhibition of Temporary Pacemakers by Radiofrequency Scan During Cardiac Surgery

Abstract

Normal operation of RFID detection systems may cause inhibition of temporary pacing systems consistent with oversensing from EMI. Precaution should be taken, including considering pacing asynchronously to avoid effects of inhibition.

Implementation and Evaluation of a RFID Smart Cabinet to Improve Traceability and the Efficient Consumption of High Cost Medical Supplies in a Large Hospital

“…RFID implementation in surgery is not without risks. In addition to organizational issues as we encountered, environmental (e.g., interference with radio waves and electromagnetic fields, inhibition of temporary pacing systems) and technical (e.g., reading errors; breakdown of computer networks) hazards also need to be considered when adopting RFID in surgery facilities [5, 27]. In the case of StocKey® RFID, it is a Faraday cage that shields their contents from electronic interferences.…”

The effectiveness of radiofrequency scanning technology in preventing retained surgical items: An integrative review

“…Of the 15 selected studies, eight studies were conducted in the USA ( n = 8) (Inaba et al, 2016; Primiano et al, 2020; Rupp et al, 2012; Steelman, 2011; Steelman & Alasagheirin, 2012; Steelman et al, 2019; Williams et al, 2014, 2016), followed by two studies conducted in Germany ( n = 2) (Kranzfelder et al, 2012, 2013), two in Brazil ( n = 2) (Antonio & Vieira, 2018; Wiederkehr et al, 2014), and one study each done in Canada ( n = 1) (Salcedo et al, 2016), Italy ( n = 1) (Lazzaro et al, 2017) and Japan ( n = 1) (Yamashita et al, 2018). The methodologies used in the studies include 11 quasi‐experiment studies ( n = 11) (Antonio & Vieira, 2018; Kranzfelder et al, 2012, 2013; Lazzaro et al, 2017; Rupp et al, 2012; Salcedo et al, 2016; Steelman, 2011; Steelman & Alasagheirin, 2012; Wiederkehr et al, 2014; Williams et al, 2016; Yamashita et al, 2018), and four observational studies ( n = 4) (Inaba et al, 2016; Primiano et al, 2020; Steelman et al, 2019; Williams et al, 2014).…”

“…This review included two studies investigating the compatibility of RF scanning technology with pacemakers. One was performed in vitro testing temporary pacemakers (Williams et al, 2016), and the other one was conducted in vivo evaluating implanted pacemakers and defibrillators or temporary epicardial pacemakers (Salcedo et al, 2016). According to Williams et al (2016)'s study, the RFID wand or mat detection causing inhibition of temporary pacing systems was observed when the three temporary pacemakers were programmed to a synchronous mode (DDD pacing mode).…”

“…One was performed in vitro testing temporary pacemakers (Williams et al, 2016), and the other one was conducted in vivo evaluating implanted pacemakers and defibrillators or temporary epicardial pacemakers (Salcedo et al, 2016). According to Williams et al (2016)'s study, the RFID wand or mat detection causing inhibition of temporary pacing systems was observed when the three temporary pacemakers were programmed to a synchronous mode (DDD pacing mode). Likewise, Salcedo et al (2016) reported that two out of ten patients whose temporary pacemakers were in a synchronous mode encountered inhibition of pacing in the atrial and ventricular leads when scanning with the RF wand.…”

“…Alasagheirin, 2012;Wiederkehr et al, 2014;Williams et al, 2016; Yamashita et al, 2018), and four observational studies (n = 4)(Inaba et al, 2016;Primiano et al, 2020;Steelman et al, 2019;Williams et al, 2014).Among the 11 experimental studies, six evaluated the RFDS (n = 6)(Antonio & Vieira, 2018;Rupp et al, 2012;Salcedo et al, 2016;Steelman, 2011;Steelman & Alasagheirin, 2012;Williams et al, 2016), while the other five evaluated the RFID (n = 5)(Kranzfelder et al, 2012(Kranzfelder et al, , 2013Lazzaro et al, 2017;Wiederkehr et al, 2014; Yamashita et al, 2018). Tracked objects were surgical sponges in nine studies (n = 9)(Antonio & Vieira, 2018;Kranzfelder et al, 2012;Lazzaro et al, 2017;Rupp et al, 2012;Salcedo et al, 2016;Steelman, 2011;Steelman & Alasagheirin, 2012;Wiederkehr et al, 2014;Williams et al, 2016), and surgical instrument in two studies (n = 2)(Kranzfelder et al, 2013; Yamashita et al, 2018). The rest were observational studies(Inaba et al, 2016; …”