Transvenous pacing: Difference between revisions

(Added contraindications)
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==Indications==
==Indications==
#Faiure of transcutaneous pacing + chronotropes  
#Faiure of transcutaneous pacing + chronotropes
*Sinus Arrest/Bradycardia
*AV Block - 3rd or 2nd degree. May occur from MI, bacterial endocarditis, or Lyme dz
*Drug OD - Digoxin toxicity
 
==Contraindications==
#Asystolic cardiac arrest
#Hypothermia bradydysrhythmias


==Procedure==
==Procedure==

Revision as of 22:00, 31 December 2013

Indications

  1. Faiure of transcutaneous pacing + chronotropes
  • Sinus Arrest/Bradycardia
  • AV Block - 3rd or 2nd degree. May occur from MI, bacterial endocarditis, or Lyme dz
  • Drug OD - Digoxin toxicity

Contraindications

  1. Asystolic cardiac arrest
  2. Hypothermia bradydysrhythmias

Procedure

  1. Set: HR 80, start at max current output (usually 20 mA)
    1. Final current set to twice the threshold level for pt

See Also

ACLS: Bradycardia