Transvenous pacing: Difference between revisions

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==Indications==
==Indications==
#Faiure of transcutaneous pacing + chronotropes
*Faiure of transcutaneous pacing + chronotropes
*Sinus Arrest/Bradycardia
**Sinus Arrest/Bradycardia
*AV Block - 3rd or 2nd degree. May occur from MI, bacterial endocarditis, or Lyme dz
**AV Block - 3rd or 2nd degree. May occur from MI, bacterial endocarditis, or Lyme dz
*Drug OD - Digoxin toxicity
**Drug OD - Digoxin toxicity


==Contraindications==
==Contraindications==

Revision as of 22:00, 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

  1. Asystolic cardiac arrest
  2. 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