Diferencia entre revisiones de «Transcutaneous pacing»
| Línea 2: | Línea 2: | ||
==Indications== | ==Indications== | ||
#Bradyarrhythmias causing hemodynamic impairment: | #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 | ##AV block | ||
##Sinus node dysfunction | ##Sinus node dysfunction | ||
##A-fib w/ slow ventricular response | ##A-fib w/ slow ventricular response | ||
##Malfunction of implanted pacemaker | ##Malfunction of implanted pacemaker | ||
#Tachyarrhythmias causing hemodynamic impairment | #Tachyarrhythmias causing hemodynamic impairment<ref name="AHA"></ref> | ||
==Procedure== | ==Procedure== | ||
Revisión del 22:50 23 ene 2015
Background
Indications
- Bradyarrhythmias causing hemodynamic impairment:[1]
- AV block
- Sinus node dysfunction
- A-fib w/ slow ventricular response
- Malfunction of implanted pacemaker
- Tachyarrhythmias causing hemodynamic impairment[1]
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
- ↑ 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