Transcutaneous pacing: Difference between revisions
(Created page with "==Background== ==Indications== #Bradyarrhythmias causing hemodynamic impairment: ##AV block ##Sinus node dysfunction ##A-fib w/ slow ventricular response ##Malfunction of impla...") |
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==Background== | ==Background== | ||
==Indications== | ==Indications== | ||
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#Tachyarrhythmias causing hemodynamic impairment | #Tachyarrhythmias causing hemodynamic impairment | ||
==Procedure== | |||
#Pad placement: | |||
##Pad on apex of heart and on R upper chest | |||
##Pad on lead V3 position and btwn L scapula and T-spine | |||
#Set: HR 80, pacing threshold usually btwn 40-80 mA | |||
##Look for clear QRS complex and T-wave following pacer spike | |||
##Check pulse to confirm mechanical capture | |||
##Final current set 5-10 mA above threshold level for pt | |||
==See Also== | |||
[[ACLS: Bradycardia]] | |||
==Source== | ==Source== | ||
Revision as of 14:46, 30 October 2013
Background
Indications
- Bradyarrhythmias causing hemodynamic impairment:
- AV block
- Sinus node dysfunction
- A-fib w/ slow ventricular response
- Malfunction of implanted pacemaker
- Tachyarrhythmias causing hemodynamic impairment
Procedure
- Pad placement:
- Pad on apex of heart and on R upper chest
- Pad on lead V3 position and btwn L scapula and T-spine
- Set: HR 80, pacing threshold usually btwn 40-80 mA
- Look for clear QRS complex and T-wave following pacer spike
- Check pulse to confirm mechanical capture
- Final current set 5-10 mA above threshold level for pt
See Also
Source
- Roberts and Hedges, Clinical Procedures in Emergency Medicine