

EMCrit Wee - Case of Failure of Pulse Ox to Confirm Transcutaneous Pacemaker (TCP) Capture with Mathieu Brunet
Jul 8, 2023
Cardiac emergencies expert Mathieu Brunet discusses a case where pulse oximetry failed to confirm Transcutaneous Pacemaker capture, highlighting the challenges of interpreting pulse oximetry waveforms and SVO2 readings in critical care. The podcast explores the complexities of arterial venous shunting, muscular contractions mimicking pulsation, and the need for alternative methods like ultrasound for confirming mechanical capture during pacing interventions.
Chapters
Transcript
1 2 3 4 5
Introduction
00:00 • 4min
Analysis of Transcutaneous Pacing and Pulse Ox Discrepancy
04:06 • 3min
Interpreting Confounders in Pulse Ox Waveforms and SVO2 Readings
07:15 • 3min
Exploration of Arterial Venous Shunting and Oxygen Saturation
10:35 • 3min
Challenges in Confirming Mechanical Capture during Transcutaneous Pacing
13:12 • 3min