Temporary cardiac pacing provides electrical stimulation to a heart compromised by disturbances in the conduction system causing hemodynamic instability. The use of a temporary pacemaker to treat a bradydysrhythmia or in some cases, a tachydysryhthmia, is undertaken when the condition is temporary and a permanent pacemaker is not necessary or available in a timely fashion. Temporary cardiac pacing is utilized in acute situations and for critically ill patient populations requiring immediate therapy. This article discusses the various indications and contraindications to temporary cardiac pacing therapy, reviews the different modalities of temporary pacemakers, and outlines critical considerations in the management of patients being treated with a temporary pacemaker.
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Electrophysiology and Device Therapy| July 01 2004
Temporary Pacemakers in Critically Ill Patients: Assessment and Management Strategies
Pamela Reiswig Timothy, MS, APRN, BC;
From Loma Linda University Medical Center, Loma Linda, Calif. (Ms Timothy), and the Division of Cardiology/Electrophysiology, University of Missouri Health Care System, Columbia (Ms Rodeman).
Reprint requests to Ms Reiswig Timothy, PO Box 456, Loma Linda, CA 92354 (firstname.lastname@example.org).
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BJ Rodeman, RN, CS, M-SCNS
AACN Adv Crit Care (2004) 15 (3): 305–325.
Pamela Reiswig Timothy, BJ Rodeman; Temporary Pacemakers in Critically Ill Patients: Assessment and Management Strategies. AACN Adv Crit Care 1 July 2004; 15 (3): 305–325. doi:
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