Definition:
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;
*It can beared by 90% of patients for 10 to 15mins.
*It can provide 140 to 200 mA current tolerably.
Medications:
There are some drugs that used during pacing;
To sedate the patient who are conscious and hemodynamically stable.
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.
Medications:
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;
- Burning sensation of the skin.
- Skeletal muscles contraction.
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