Figure 12.

Algorithm for perioperative management of PM (including CRT-P) during surgery. From ref.^101aReprogramming/magnet application is optional, if surgery is performed below the iliac crest and no full-body return electrodes are used; ^basynchronous mode (D00/V00/A00); rate response may be inactivated to avoid rapid pacing with patient mobilization or respiratory monitoring (if the PM has a minute-ventilation sensor); ^cabsence of intrinsic escape rhythm or heart rate, 50-bpm causing symptoms; ^dasystole or haemodynamically relevant bradycardia during electrocautery.