Abstract
In a crisis, placement of a temporary transvenous pacemaker can be difficult and time consuming even with skilled personnel under optimal conditions. Sterile conditions must be obtained, a vein cannulated, the catheter inserted into the vein and directed to the cardiac apex without perforating the ventricle. The problems encountered with placing a temporary transvenous pacemaker (1,2) together with advances in noninvasive pacing technology have resulted in a renewed interest in external transthoracic pacing (ETP). ETP is a method to secure cardiac pacing quickly and effectively until a transvenous pacemaker can be inserted or the condition necessitating pacing resolves. An ETP device can be applied rapidly and consists of a 12 inch by 8 inch by 6 inch box that contains the pulse generator, ECG viewing screen and single channel ECG recorder with a cable to two large pacing electrodes. ECG electrodes can also be applied to document capture while pacing or to sense in the demand mode. This chapter is designed to acquaint the practitioner with the current use of ETP for patients in the cardiac intensive care unit.
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© 1987 Martinus Nijhoff Publishing, Boston
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Worley, S.J., Bride, W.M. (1987). External Transthoracic Pacing in Patients with Acute Myocardial Infarction. In: Califf, R.M., Wagner, G.S. (eds) Acute Coronary Care 1987. Acute Coronary Care Updates, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2337-2_12
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DOI: https://doi.org/10.1007/978-1-4613-2337-2_12
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