RT Book, Section
A1 Grushko, Michael J.
A1 Gross, Jay N.
A2 Oropello, John M.
A2 Pastores, Stephen M.
A2 Kvetan, Vladimir
SR Print(0)
ID 1136419914
T1 Temporary Pacemaker Insertion and Management of CV Implantable Electrical Devices in the ICU
T2 Critical Care
YR 1
FD 1
PB McGraw-Hill Education
PP New York, NY
SN 9780071820813
LK accessmedicine.mhmedical.com/content.aspx?aid=1136419914
RD 2024/04/16
AB KEY  POINTSBradyarrhythmias  occur  commonly  in  the  intensive  care  unit  (ICU),  and  most  events  do  not  necessitate  temporary  pacing.Transient  bradycardia  often  occurs  in  the  setting  of  enhanced  vagal  tone  or  other  reversible  causes.Temporary  pacing  should  be  considered  when  symptoms  or  hemodynamic  compromise  develops  secondary  to  the  bradyarrhythmia.Transvenous  temporary  pacing  in  the  ICU  setting  generally  requires  intracardiac  electrogram  (EGM)  guidance.Reliable  temporary  pacing  requires  adequate  sensing  and  pacing  thresholds,  stable  position  of  the  lead,  and  secure  connections  of  the  pacing  system.Permanently  implanted  pacemakers  and  implantable  cardioverter-defibrillators  (ICDs)  generally  function  well  in  the  standard  programmed  settings,  and  apparent  “anomalous  behavior”  may  be  the  result  of  acute  rhythm  change  or  electrolyte  abnormalities,  rather  than  device  malfunction.