Tuesday, 30 April 2013

Transcutaneous Pacing Device

Transcutaneous pacing device also refers as External pacing device.
Some pacing devices only provide as a pacemaker.
But some of them use as a defibrillators and also as rhythm monitoring as well as pacing device.
Indications of TPM;

  • Its is indicated as Temporary pacemaker (TPM).
  • It is used in the treatment of Sinus bradycardia, Symptomatic bradycardia and in AV blocks mainly.
  • Other than it, used in hemodynamically unstable bradycardia (i.e; reduced BP, decreased consciousness, CHF and shock etc).
  • In AMI (Acute Myocardial Infarction) with symptomatic sinus bradycardia (If it have irreversible signs), II degree of heart blocks (Mobitz type II), Complete heart block (ventricular escape rhythm).
  • In treatment of Tachycardia as DC (Cardiovert).

*It can beared by 90% of patients for 10 to 15mins.
*It can provide 140 to 200 mA current tolerably.

There are some drugs that used during pacing;
To sedate the patient who are conscious and hemodynamically stable.

  •  Midazolam (Benzodiazepine).
  • Anxiolytics Are.
*These drugs have also amnesic effect.

These drugs necessary to use because External pacing causes;
  1. Burning sensation of the skin.
  2. Skeletal muscles contraction.

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