Introduction

Dr. Eric Silver is an Associate Professor of pediatrics at Columbia University Medical Center. He completed his cardiology fellowship at Columbia University College of Physicians and Surgeons and his electrophysiology fellowship at Stanford’s Lucile Packard Children’s Hospital. He is a certified specialist in pediatric electrophysiology and his research has focused on invasive management of AV nodal reentrant tachycardia in children, the response of the transplanted heart to adenosine therapy, and placement of pacemakers and ICDs with minimal fluoroscopy utilizing 3-dimensional mapping systems.

Gav Apfel is a CICU hospitalist at Columbia University College of Physicians and Surgeons. He completed his residency training at Columbia University College of Physicians and Surgeons and will be joining the Columbia University’s critical care fellowship program next year. He is interested in pursuing a career in cardiac intensive care.

Learning Objectives:
 
By the end of this podcast, listeners should be able to:

1. Recognize common indications for temporary pacing in the CICU
2. Understand the nomenclature used to describe temporary epicardial pacemakers and different pacing modalities
3. Recall the function of each pacing mode and which clinical settings in which it is used
4. Recognize the surgical and pre surgical factors that lead to higher risk of arrhythmias
5. Recognize and troubleshoot temporary pacemaker dysfunction
6. Develop a mental framework for managing those who require prolonged pacing

References:

Pediatric & Congenital Electrophysiological Society: https://pacesep.org/
Heart University: https://www.heartuniversity.org

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Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.