Transcutaneous pacing: Difference between revisions

Jump to navigation Jump to search
No edit summary
 
Line 15: Line 15:
==Disadvantages==
==Disadvantages==
Transcutaneous pacing may be uncomfortable for the patient. [[Sedation]] should therefore be considered. Prolonged transcutaneous pacing may cause burns on the skin. It is meant to stabilize the patient until a more permanent means of pacing is achieved.
Transcutaneous pacing may be uncomfortable for the patient. [[Sedation]] should therefore be considered. Prolonged transcutaneous pacing may cause burns on the skin. It is meant to stabilize the patient until a more permanent means of pacing is achieved.
==Other Pacemakers==
==Others==
Other forms of cardiac pacing are [[transvenous pacing]], epicardial pacing, and permanent pacing with an [[artificial pacemaker|implantable pacemaker]].
Other forms of cardiac pacing are [[transvenous pacing]], epicardial pacing, and permanent pacing with an [[artificial pacemaker|implantable pacemaker]].



Latest revision as of 16:23, 7 February 2013

WikiDoc Resources for Transcutaneous pacing

Articles

Most recent articles on Transcutaneous pacing

Most cited articles on Transcutaneous pacing

Review articles on Transcutaneous pacing

Articles on Transcutaneous pacing in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Transcutaneous pacing

Images of Transcutaneous pacing

Photos of Transcutaneous pacing

Podcasts & MP3s on Transcutaneous pacing

Videos on Transcutaneous pacing

Evidence Based Medicine

Cochrane Collaboration on Transcutaneous pacing

Bandolier on Transcutaneous pacing

TRIP on Transcutaneous pacing

Clinical Trials

Ongoing Trials on Transcutaneous pacing at Clinical Trials.gov

Trial results on Transcutaneous pacing

Clinical Trials on Transcutaneous pacing at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Transcutaneous pacing

NICE Guidance on Transcutaneous pacing

NHS PRODIGY Guidance

FDA on Transcutaneous pacing

CDC on Transcutaneous pacing

Books

Books on Transcutaneous pacing

News

Transcutaneous pacing in the news

Be alerted to news on Transcutaneous pacing

News trends on Transcutaneous pacing

Commentary

Blogs on Transcutaneous pacing

Definitions

Definitions of Transcutaneous pacing

Patient Resources / Community

Patient resources on Transcutaneous pacing

Discussion groups on Transcutaneous pacing

Patient Handouts on Transcutaneous pacing

Directions to Hospitals Treating Transcutaneous pacing

Risk calculators and risk factors for Transcutaneous pacing

Healthcare Provider Resources

Symptoms of Transcutaneous pacing

Causes & Risk Factors for Transcutaneous pacing

Diagnostic studies for Transcutaneous pacing

Treatment of Transcutaneous pacing

Continuing Medical Education (CME)

CME Programs on Transcutaneous pacing

International

Transcutaneous pacing en Espanol

Transcutaneous pacing en Francais

Business

Transcutaneous pacing in the Marketplace

Patents on Transcutaneous pacing

Experimental / Informatics

List of terms related to Transcutaneous pacing

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: External pacing

Overview

Transcutaneous pacing is a temporary means of pacing a patient's heart during a medical emergency. It is accomplished by delivering pulses of electric current through the patient's chest, which stimulates the heart to contract.

Indications

The most common indication for transcutaneous pacing is an abnormally slow heart rate. By convention, a heart rate of less than 60 beats per minute in the adult patient is called bradycardia. Not all bradycardias require medical treatment. Many athletes have a slow resting heart rate. In addition, the heart rate is known to slow down with age. It is only when bradycardia causes signs and symptoms of shock that it requires emergency treatment with transcutaneous pacing.

Some common causes of hemodynamically significant bradycardia include acute myocardial infarction, sinus node dysfunction and complete heart block. Transcutaneous pacing is no longer indicated for the treatment of asystole (cardiac arrest associated with a "flat line" on the ECG), with the possible exception of witnessed asystole (as in the case of bifascicular block that progresses to complete heart block without an escape rhythm).

Techniques

During transcutaneous pacing, pads are placed on the patient's chest, either in the anterior/lateral position or the anterior/posterior position. The anterior/posterior position is preferred as it minimizes transthoracic impedance by "sandwiching" the left ventricle between the two pads. The pads are then attached to a monitor/defibrillator, a heart rate is selected, and current (measured in milliamps) is increased until electrical capture (characterized by a wide QRS complex with tall, broad T wave on the ECG) is obtained, with a corresponding pulse. Pacing artifact on the ECG and severe muscle twitching may make this determination difficult. It is therefore advisable to use another instrument (e.g. SpO2 monitor or bedside doppler) to confirm mechanical capture.

Disadvantages

Transcutaneous pacing may be uncomfortable for the patient. Sedation should therefore be considered. Prolonged transcutaneous pacing may cause burns on the skin. It is meant to stabilize the patient until a more permanent means of pacing is achieved.

Others

Other forms of cardiac pacing are transvenous pacing, epicardial pacing, and permanent pacing with an implantable pacemaker.

References

Template:WikiDoc Sources