Tamingthesru
Transvenous Pacemaker: Part 2 - A Procedural Slide Set
worked to create a video walkthrough of the procedure. The video walkthrough is divided into two separate videos. The first, embedded below is a narrated procedural slide set, designed to be a cognitively unloaded approach to learning the procedure. In a later post we'll see a full, start to finish video of the procedure filmed from the first person viewpoint.
In addition to the video being posted here, Dr. Cousar has constructed a checklist that will be placed on the pacemaker generator which will have a QR code to link to this narrated slide set.
Transvenous Pacemaker Placement - Part 1: The Walkthrough
If you are interested in seeing the placement of a Transvenous Pacemaker after reading this post check out Part 2 (Procedural Slide Set) and Part 3 (the first person view of the procedure)
Reasons to Pace in the First Place
Hemodynamically unstable+
1. Sinus Bradycardia - seen in 17% of acute MI patients (especially inferior or anterior wall MI) [1,2]
2. AV Block - may be due to ischemia (15-19% of all Acute MI) [2,3]
3. Drug Overdose - with the goal of maintaining adequate hemodynamics while your medical therapy/dialysis has an opportunity to work.
Lessons in Transport - Post-Intubation Checklists
Post-Intubation Checklists
Making a checklist can help cognitively unload you in high stakes and high pressure situations. Post-intubation consider the following important points:
Protecting the Tube
Continuous wave form ETCO2... each and every time
Secure Endotracheal Tube at the appropriate depth (See LIT week 6)
Analgesia and Sedation
Restraints... Do you know where the soft restraints are stored?