Is There a Pulse Capture?

Pulse is obviously the first thing we want to check but if you do a full patient reassessment you should hopefully at this stage be facing a really improving clinical picture. But like I said you know you need to be on your guard as there are definitely quite a few case reports of patients who initially get an electrical and a mechanical capture but their clinical picture deteriorates again over time. So what should we be using when we're thinking of an agent to help patients tolerate transcutaneous pacing? Well I think the main classes of medications that we will be thinking about are opioids, benzodiazepines and ketamine - they all hold side effects and possible complications in use.