Transcutaneous pacing
Revision as of 14:46, 30 October 2013 by Rossdonaldson1 (talk | contribs)
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