Transcutaneous pacing: Difference between revisions
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==Indications== | ==Indications== | ||
*Bradyarrhythmias causing hemodynamic impairment:<ref name="AHA">Epstein AE, DiMarco JP, Ellenbogen KA, et al. ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices): developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation. May 27 2008;117(21):e350-408</ref> | |||
**AV block | |||
**Sinus node dysfunction | |||
**A-fib with slow ventricular response | |||
**Malfunction of implanted pacemaker | |||
*Tachyarrhythmias causing hemodynamic impairment<ref name="AHA"></ref> | |||
==Procedure== | ==Procedure== | ||
*Pad placement: | |||
**Pad on apex of heart and on right upper chest | |||
**Pad on lead V3 position and between left scapula and T-spine | |||
*Set: HR 80, pacing threshold usually between 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 patient | |||
==See Also== | ==See Also== | ||
Revision as of 12:16, 30 March 2019
Background
Indications
- Bradyarrhythmias causing hemodynamic impairment:[1]
- AV block
- Sinus node dysfunction
- A-fib with slow ventricular response
- Malfunction of implanted pacemaker
- Tachyarrhythmias causing hemodynamic impairment[1]
Procedure
- Pad placement:
- Pad on apex of heart and on right upper chest
- Pad on lead V3 position and between left scapula and T-spine
- Set: HR 80, pacing threshold usually between 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 patient
See Also
References
- ↑ 1.0 1.1 Epstein AE, DiMarco JP, Ellenbogen KA, et al. ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices): developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation. May 27 2008;117(21):e350-408
- Roberts and Hedges, Clinical Procedures in Emergency Medicine