[Surgical manipulations in patients with permanent pacemaker].

Area of Science:

• Cardiology
• Medical Devices
• Surgical Safety

Background:

• Patients with permanent pacemakers (PPM) often require surgical interventions.
• Intraoperative pacemaker instability is a potential complication during surgery.
• Understanding the causes of PPM failure during surgery is crucial for patient safety.

Purpose of the Study:

• To analyze safety rules for surgical interventions in patients with permanent pacemakers.
• To identify the premises of intraoperative pacemaker instability.
• To determine the impact of electrocoagulation on pacemaker function.

Main Methods:

• Analysis of data from 123 patients undergoing surgery with permanent pacemakers.
• Review of intraoperative pacemaker instability events.
• Correlation analysis between electrocautery use and pacemaker failure.

Main Results:

• Monopolar electrocoagulation was identified as the most frequent cause of pacemaker failure during surgery.
• A strong correlation was found between rhythm failure and the duration of electrocautery exposure.
• 123 cases of intraoperative pacemaker instability were analyzed.

Conclusions:

• Adherence to specific safety rules is essential for surgical procedures involving patients with permanent pacemakers.
• Minimizing or avoiding monopolar electrocoagulation, particularly prolonged use, is critical to prevent pacemaker failure.
• Further research into alternative surgical techniques may be warranted.