# Vargo Anesthesia Mega App vs Periop Pacemaker

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.

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.

## The numbers

| Metric | Vargo Anesthesia Mega App | Periop Pacemaker |
| --- | --- | --- |
| Price | $99.99 | **Free** |
| Rating | [4.7 (177 ratings)](https://appshunter.io/ios/app/vargo-anesthesia-mega-app/id791467318/reviews) | **[5.0 (8 ratings)](https://appshunter.io/ios/app/periop-pacemaker/id6615070538/reviews)** |
| Number of ratings | **177** | 8 |
| Positive reviews | 84.8% of reviews | **100.0% of reviews** |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 2 weeks** | Every 2 months |
| Monetization | Paid | **Free with in-app purchases** |
| Best chart rank | **#15** | — |
| Size | 353 MB | 43 MB |
| Requires iOS | 15.0 | **13.0** |
| Devices | **iPhone, iPad, iPod** | iPhone, iPod |
| Age rating | +17 | 17+ |
| Developer | [Vargo Anesthesia Inc](https://appshunter.io/developer/441512939) | [Rhythm Management, LLC](https://appshunter.io/developer/1761518402) |

## What reviewers say

### Vargo Anesthesia Mega App

[App page](https://appshunter.io/ios/app/vargo-anesthesia-mega-app/id791467318)

**Currently charting:** #15 Top Paid · Medical, #54 Top Grossing · Medical (US App Store)

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.

**Highlights:** 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

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


### Periop Pacemaker

[App page](https://appshunter.io/ios/app/periop-pacemaker/id6615070538)

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.

**Highlights:** 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

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases (2)**

| Purchase | Price | Billing |
| --- | --- | --- |
| PERIOP PACEMAKER ANNUAL FEE | $2.99 | per year |
| Periop Pacemaker | $7.99 | one-time |


## Frequently asked questions

### Is Vargo Anesthesia Mega App free?

Vargo Anesthesia Mega App costs $99.99, with no in-app purchases.

### Is Periop Pacemaker free?

Periop Pacemaker is free to download, with in-app purchases available.

### Which has better reviews, Vargo Anesthesia Mega App or Periop Pacemaker?

Periop Pacemaker is rated higher. Vargo Anesthesia Mega App averages 4.7 out of 5 from 177 ratings, while Periop Pacemaker averages 5.0 from 8 ratings.

### Do Vargo Anesthesia Mega App or Periop Pacemaker have ads?

Neither Vargo Anesthesia Mega App nor Periop Pacemaker shows ads.

### Which is updated more often, Vargo Anesthesia Mega App or Periop Pacemaker?

Vargo Anesthesia Mega App ships an update every 2 weeks, and Periop Pacemaker every 2 months. Most recently, Vargo Anesthesia Mega App was updated on September 23, 2026 and Periop Pacemaker on September 9, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*