Transvenous pacing: Difference between revisions

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==Contraindications==
==Contraindications==
#Asystolic cardiac arrest
*Asystolic cardiac arrest
#Hypothermia bradydysrhythmias
*Hypothermia bradydysrhythmias


==Procedure==
==Procedure==

Revision as of 22:01, 31 December 2013

Indications

  • 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

  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