Transcutaneous Pacing

Transcutaneous Pacing

Transcutaneous pacing is a method of external electrical stimulation of the heart through a set of electrode pads. It isn’t as efficient as transvenous pacing because the electrical stimulus (the pad) isn’t in direct contact with the heart muscle.

In a life-threatening situation, when time is critical, a trans-cutaneous pacemaker is the best choice. (See Indications for transcutaneous pacing.)

The device works by sending an electrical impulse from the pulse generator to the patient’s heart by way of two electrodes, which are placed on the front and back of the patient’s chest. Transcutaneous pacing is quick and effective, but it’s used only until the doctor can institute transvenous pacing.

Transcutaneous pacing is recommended by the 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care for symptomatic bradycardia when a pulse is present. It isn’t recommended for cardiac arrest because research shows that it’s ineffective in cardiac arrest.1

Jul 21, 2016 | Posted by in NURSING | Comments Off on Transcutaneous Pacing

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