Section: Hands on
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Molina Mazón CS. Implante de un marcapasos provisional transvenoso. Metas de Enferm nov 2009; 12(9): 20-25
Carlos Santos Molina Mazón
Diplomado en Enfermería. Servicio de Cardiología. Laboratorio de Ecocardiografía. Ciudad Sanitaria y Universitaria de Bellvitge, Hospitalet de Llobregat (Barcelona).
Pasaje Martí Rosell 8, 2º, 3ª. 08330 Premià de Mar, Barcelona.
Contact email: email@example.com
Alterations of the conduction system frequently present with bradycardia, as a result of depression of the sinus automatism or a conduction block at the His-Purkinje system level, whose most frequent manifestation is A-V block, with the patient’s subsequent hemodynamic deterioration.
The placement of a temporary pacemaker is the treatment of choice. Even though there are different modalities of temporary cardiac stimulation, the transvenous modality, via peripheral venous puncture and placement of an electrode in the right-side cavities, is the most used.
The frequent use of the temporary transvenous pacemaker procedure requires that Nursing professionals have updated knowledge on this device and that they are competent in its management, ensuring safer and more effective care.
This work describes pacemaker modalities, indications for placement of an electrocatheter, the insertion technique, potential complications during and after its insertion, and a nursing care plan proposal to guide nursing decision-making on the care of these patients.
transvenous temporary pacemaker; cardiac electrostimulation; central venous catheterism; critical carearrhythmias
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