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PedsCrit

Temporary Pacing with Dr. Eric Silver

Sep 25, 2023
Dr. Eric Silver, Associate Professor of pediatrics at Columbia University Medical Center, discusses temporary pacing in pediatric cardiology. Topics include common indications for temporary pacing, understanding pacing modes in pacemakers, different pacing methods and risk factors for rhythm disturbances after cardiac surgeries.
39:49

Episode guests

Podcast summary created with Snipd AI

Quick takeaways

  • The main indications for acquiring temporary pacing in post-op patients are heart block, junctional bradycardia, and junctional tachycardia.
  • Troubleshooting and adjusting energy output are essential for addressing capturing and sensing issues in temporary pacing.

Deep dives

Temporary Cardiac Pacing in Pediatric Patients

Temporary cardiac pacing is discussed in this episode, focusing on the post-operative care of children who require pacing after cardiac surgeries. The main indications for acquiring temporary pacing in post-op patients are heart block, junctional bradycardia, and junctional tachycardia. The episode also covers the components of temporary pacemakers, including the placement of wires on the outside of the heart and the importance of correct wiring to ensure proper pacing. Sensing and capturing issues are addressed, emphasizing the need for troubleshooting and adjusting energy output when capturing fails. The potential risks and complications of long-term pacing, as well as the lifespan of temporary wires, are also highlighted.

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