Transcutaneous pacing: a life saviour

Authors

  • Roly Mishra Department of Anaesthesia and Pain Management, Sir H.N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
  • Parna Thakkar Department of Anaesthesia and Pain Management, Sir H.N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India
  • Hemant Mehta Department of Anaesthesia and Pain Management, Sir H.N. Reliance Foundation Hospital and Research Centre, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20202289

Keywords:

Atropine resistant bradycardia, Bradyarrythmias, Complications, Contraindications, Pacing indications, Transcutaneous pacing

Abstract

 

Doukky Rand colleagues acknowledged that Transcutaneous Cardiac Pacing is a temporary method of pacing which may be indicated in patients with symptoms of severe or hemodynamically unstable bradyarrhythmias. It is found to be extremely helpful in patients with reversible or transient conditions, such as digoxin toxicity and in atrioventricular block in the case of inferior wall myocardial infarction, or when transvenous pacing is not available or there are high chances of complications. Widened QRS complex indicates successful attempt followed by a distinct ST segment and broad T wave. The hemodynamic response to pacing is to be confirmed by the assessment of patient’s arterial pulse waveforms. Trancutaneous pacing is a boon to manage and treat intra op dangerous bradycardia.

References

Doukky R, Bargout R, Kelly RF, Calvin JE. Using transcutaneous cardiac pacing to best advantage: how to ensure successful capture and avoid complications. J Critic Ill. 2003 May;18(5):219-25.

Zoll PM, Linenthal AJ, Norman LR, Paul MH, Gibson W. Treatment of unexpected cardiac arrest by external electric stimulation of the heart. New Engl J Medi. 1956 Mar 22;254(12):541-6.

Crofoot M, Weir AJ. External Pacemaker. Treasure Island (FL): StatPearls Publishing; December 2019. Available at: https://www.ncbi.nlm.nih.gov/books/NBK519567/. Accessed January 2020.

Correia M, Marinho J, Figueira I, e Cunha JM. Intra-operative transcutaneous pacing in the setting of an urgent surgery: Case-report. Resuscitation. 2014 May 1;85:S34.

Sovari AA. Transcutaneous cardiac pacing. Theheart. Org Medscape. 2014.

Kusumoto FM, Schoenfeld MH, Barrett C, Edgerton JR, Ellenbogen KA, Gold MR, et al. 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2019 Aug 12;74(7):e51-156.

Epstein AE, DiMarco JP, Ellenbogen KA, Estes NM, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons. J Am Coll Cardiol. 2008 May 27;51(21):2085-105.

Im SH, Han MH, Kim SH, Kwon BJ. Transcutaneous temporary cardiac pacing in carotid stenting: noninvasive prevention of angioplasty-induced bradycardia and hypotension. J Endovasc Ther. 2008 Feb;15(1):110-6.

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Published

2020-05-26

How to Cite

Mishra, R., Thakkar, P., & Mehta, H. (2020). Transcutaneous pacing: a life saviour. International Journal of Research in Medical Sciences, 8(6), 2332–2335. https://doi.org/10.18203/2320-6012.ijrms20202289

Issue

Section

Case Reports