Video:Transvenous pacing

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Transvenous pacing (Tutorial)
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Indication

Travenous pacing is carried out to correct a slow heart rate that is resulting in significant symptoms.[1]

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Step 1

Place a sheath introducer in the right IJ.[2]

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Step 2

Check the device balloon.[2]

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Step 3

Attach sleeve to the hub of the introducer.[2]

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Step 4

Insert device about 20 cm through the hub.[2]

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Step 5

Connect to the energy generator.[2]

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Step 6

Set the generator at 80 BPM and 5 mA.[2]

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Step 7

Inflate the balloon and advance into the right ventricle (wide QRS complex is seen).[2]

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Step 8

Adjust the generator to lowest effective mA.[2]

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Step 9

Deflate the balloon, secure the sleeve and sheath.[2]

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References

  1. "Temporary Transvenous Cardiac Pacing • LITFL • CCC". Life in the Fast Lane • LITFL. 30 January 2019. Archived from the original on 23 January 2021. Retrieved 19 March 2021.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 "Transvenous Pacemaker". EM:RAP. Archived from the original on 28 October 2020. Retrieved 19 March 2021.

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