Translations:Transcutane Schrittmacherstimulation/3/en

1. Check electrodes for their expiration date... # Expired electrodes must not be used under any circumstances, as there is a high probability (!!!) of ineffective stimulation. # Shave skin and degrease electrodes with the electrode cable before applying the electrodes # Attach electrodes firmly with the electrode cable # Anterior electrode over the tip of the heart, posterior electrode posterior 2-3 transverse fingers under the scapula # Inform patients about painful stimulation and use analgesics (morphine) and possibly additional analgesics (morphine). Have benzodiazepine ready and administer later as required # Switch on pacemaker # Set stimulation mode, usually VVI or Demand (depending on the device; this means that the pacemaker stimulates in the ventricle [V], perceives impulses in the ventricle [V] and that the stimulation is inhibited [I] if one's own ventricle impulse is perceived; Demand = demand controlled.) # Set frequency 70 (or 80) # Slow increase of the impulse current until effective stimulation (analgesia!) in awake patients. The resuscitation starts with the highest pulse current. NOTE: Effective stimulation should not be assessed by ECG alone. A pulse keying is indispensable! # Stimulus threshold test and final adjustment of the pulse current strength: