Pacemaker and cautery planning
Educational use only. Not clinically reviewed71-year-old woman for Elective right shoulder arthroplasty. About 8 simulated minutes.
What you will practise
- Review device type, pacing dependence, recent function, and documented magnet response.
- Join procedure location and anticipated electrosurgery with the device-specific risk pattern.
- Choose coordinated asynchronous pacing for this pacing-dependent case without inventing a universal magnet rule.
- Include external backup, monitoring, and explicit post-procedure restoration in the plan.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Thompson A, et al. 2024 AHA/ACC Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery. Circulation. 2024;150:e351-e442.
- Wan EY, et al. Periprocedural Management and Multidisciplinary Care Pathways for Patients With Cardiac Implantable Electronic Devices. Circulation. 2024;150:e183-e196.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.