Endoscopy patients with Pacemakers/AICD

Go online to the ASGE website. American Society of Gastrenterology, they have a position paper on that subject. Basically, it is not recommended any further to turn off or manipulate the pacer settings with a magnet during endoscopy. 1. Cautery is never a known entity and if a pacer is turned off and something happens to the patient cardiac wise during the procedure and no cautery was used, the attempt to prevent a patient related incident turned into a patient related incident. the recc. are that cautery is safe as long as the cautery is 10 inches from the pacer and that the ground is placed in such a way(hip) that there is no arc across the pacer. Go to the website for further info.