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Basic Pacing Concepts Part III - page 31 / 49

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Electrocautery is the Most Common Hospital Source of Pacemaker EMI

Outcomes

Oversensing–inhibition

Undersensing (noise reversion)

Power on Reset

Permanent loss of pacemaker output (if battery voltage is low)

Precautions

Reprogram mode to VOO/DOO, or place a magnet over device

Strategically place the grounding plate

Limit electrocautery bursts to 1-second burst every 10 seconds

Use bipolar electrocautery forceps

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