Vargo Anesthesia Mega App vs Periop Pacemaker
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Vargo Anesthesia Mega App
This comprehensive medical app consolidates 16 specialized tools for anesthesia professionals. It provides quick access to information on patient care in various settings, including obstetrics, pediatrics, trauma, and critical care. Features include drug information, crisis management algorithms, case tips, and calculations.
- Obstetric, pediatric, trauma, surgical, critical care, emergency, and anesthesia settings
- Malignant Hyperthermia information
- Medical calculations (ABL/EBV, BMI, MAP, etc.)
- Anesthesia crisis management algorithms
- Extensive anesthesia case tips with search
- Pharmacology information for over 200 drugs/drips
- Pediatric and OB regional anesthesia guides
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The Vargo Anesthesia Mega App is a comprehensive, clinician-built platform designed to support anesthesia providers in both preoperative preparation and real-time clinical decision-making. Developed and refined over more than 15 years, the app integrates essential anesthesia, critical care, and perioperative content into one unified system. Built for efficiency and clarity, the Mega App allows providers to quickly access high-value clinical information—whether preparing for a case, reviewing complex physiology, or managing time-sensitive situations in the operating room. The Vargo Anesthesia Mega App brings together a wide range of core anesthesia resources, including: Weight-Based Medication Dosing and Equipment Tables Adult and pediatric dosing and equipment references designed for accuracy across a wide range of patient sizes Cheat Sheets High-yield summaries for rapid review of key anesthesia and critical care concepts Pediatrics Focused pediatric anesthesia guidance and considerations Case Tips Extensive, case-based insights across a broad range of surgical procedures Regional Nerve Blocks & OB Regional Practical guidance for regional anesthesia techniques, including obstetric applications Drugs and Drips Detailed pharmacology with dosing, mechanisms, and clinical application Coagulopathies & Blood Management (TEG/ROTEM) Focused content for complex perioperative and critical care scenarios CABG (Coronary Artery Bypass Grafting) Step-by-step guidance from setup through separation from bypass Calculations & Clinical Tools Essential calculations including tidal volume, weight-based dosing, and more Max Local Anesthetic Calculator Quick reference for safe dosing limits Crisis Management Immediate access to critical event management, including: Local Anesthetic Toxicity (LA Max) Malignant Hyperthermia (MH) Blood / TEGs / ROTEM Other high-risk intraoperative events The app is structured for rapid navigation and real-time usability: Clear, organized layout for quick access Concise presentation of complex topics Built to support decision-making under pressure - All future updates and additions are included with a one-time purchase. There are no subscriptions or recurring fees. - Designed for every level of the anesthesia care team. ***iCloud must be switched on to save personal notes.*** This application is intended for educational and clinical reference purposes only. It is designed to support—not replace—the independent judgment of qualified healthcare professionals. It does not diagnose, treat, or provide patient-specific medical advice. All information must be verified based on the individual patient and clinical context.
Periop Pacemaker
This app provides medical professionals with a decision algorithm for managing surgical patients with implantable defibrillators or pacemakers. It is based on guidelines endorsed by the Heart Rhythm Society and updated annually by an expert committee.
- Decision algorithm for pacemaker/defibrillator management
- Endorsed by Heart Rhythm Society
- Based on ASA Perioperative Cardiac Implantable Electronic Device Management Aid
- Annual expert committee updates
- Designed for medical professionals
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Periop Pacemaker is a smartphone app that assists medical professionals who take care of surgical patients that have implantable defibrillators or pacemakers. The decision algorithm is endorsed by the Heart Rhythm Society and is based on the American Society of Anesthesiologists Perioperative Cardiac Implantable Electronic Device Management Aid. As device technology evolves, an expert committee of anesthesiologists, cardiologists, and device representatives will meet annually to keep information up-to-date. Disclaimer: ASA Pacemaker is designed for use by medical professionals only. Accessing the app content requires either a one-time payment of $7.99 USD or an annual subscription payment of $2.99 USD. A 30-day free trial is available under the annual subscription plan.
Screenshots
Verdict
The clearest difference is price: Periop Pacemaker at Free against Vargo Anesthesia Mega App's $99.99. Periop Pacemaker also leads on rating (5.0 vs 4.7) and review sentiment (100% vs 85%). Vargo Anesthesia Mega App's advantage is in-app purchases (none vs 2) and update cadence (every 2 weeks vs every 2 months). On ads and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Periop Pacemaker is free to download; Vargo Anesthesia Mega App costs $99.99 up front. Periop Pacemaker sells 2 in-app purchases, starting at $2.99 per year. Vargo Anesthesia Mega App asks for nothing beyond the download.
Periop Pacemaker holds the better App Store score, 5.0 against 4.7. That said, the two scores are not equally well evidenced: Vargo Anesthesia Mega App has 177 ratings behind it against 8, so its average is the more settled of the two. Written reviews point the same way: 85% of Vargo Anesthesia Mega App's written reviews are positive against 100% of Periop Pacemaker's.
Vargo Anesthesia Mega App ships an update every 2 weeks, Periop Pacemaker every 2 months. The most recent releases landed on September 23, 2026 and September 9, 2026 respectively.
| Parameter | Vargo Anesthesia Mega App | Periop Pacemaker |
|---|---|---|
| Price | $99.99 | Free — better |
| Rating | 4.7 (177 ratings) | 5.0 (8 ratings) — better |
| Positive reviews | 84.8% of reviews | 100.0% of reviews — better |
| Number of ratings | 177 — better | 8 |
| Update frequency | Every 2 weeks — better | Every 2 months |
| Ads | No | No |
| In-app purchases | No — better | Yes |
| Monetization | Paid | Free with in-app purchases — better |
| Best chart rank | #15 — better | — |
| Devices | iPhone, iPad, iPod — better | iPhone, iPod |
| Requires iOS | 15.0 | 13.0 — better |
| Further details — not scored | ||
| Size | 353 MB | 43 MB |
| Age rating | +17 | 17+ |
| Developer | Vargo Anesthesia Inc | Rhythm Management, LLC |
Customer experience
Vargo Anesthesia Mega App
Periop Pacemaker
In-app purchases
Vargo Anesthesia Mega App
No in-app purchases
Periop Pacemaker
- PERIOP PACEMAKER ANNUAL FEE1 Month trial$2.991 Year
- Periop Pacemaker$7.99
Questions
Is Vargo Anesthesia Mega App free?
Is Periop Pacemaker free?
Which has better reviews, Vargo Anesthesia Mega App or Periop Pacemaker?
Do Vargo Anesthesia Mega App or Periop Pacemaker have ads?
Which is updated more often, Vargo Anesthesia Mega App or Periop Pacemaker?
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