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Community Medicine Rants - Are We Capable of Placing Transvenous Pacemakers?

Al Sacchetti, MD
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08:22
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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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01:49

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EM:RAP 2017 May Written Summary 839 KB - PDF

We’ve heard the debate regarding when and if to place TV pacemakers. Al Sacchetti asks, “Are we good at it?”

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Johan F., M.D. -

Listened to the pacer talk by Al Saccheti. He mentioned using the left subclavian and using the natural curve of the vein to access the RV. Have once placed a pacer through left subclavian myself and got an earful from cardiology. Placing pacer here contaminates the preferred site for permanent pacer placement. I'd suggest clearing with your cardiology /thoracic colleagues prior to using this site.

Thanks

Alfred S., M.D. -

You are correct, we prefer to save the site for cardiologist, but in a emergency it is a perfectly acceptable site.

Al

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