Transvenous pacing

Revision as of 22:00, 31 December 2013 by ManpreetS2006 (talk | contribs) (Added contraindications)

Indications

  1. 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

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