Temporary Pacemakers - Modes and Basic Settings

We continue the series on Temporary Pacemakers and take a look at the different modes they operate in and how to understand the nomenclature for representing that mode. That is further divided up in to differences between single and dual chamber pacemakers. From there we talk about the basic settings that are a need to know group. Having the knowledge of the modes and these settings will really strengthen your ability to care for patients with these devices.

❗️❗️CORRECTION: ❗️❗️I apologize as I flipped the terminology for sensitivity! The higher the mV, and thus the higher the "fence", the LESS sensitive we are and the LESS chance we will see the rhythm. As we lower the mV thus lowering the "fence" we become more sensitive to the underlying rhythm and have a better chance of seeing it. If we go too low, then we become TOO sensitive and would see all electrical activity as a heartbeat instead of just, for example, the peak of the QRS complex. Hence our threshold is the less sensitive setting (highest mV) to just barely begin to see the underlying rhythm.

In the last lesson on troubleshooting, I will correct this and make sure to explain this better. Sorry for any confusion! 😔

0:00 Intro
1:19 Modes
7:50 Single Chamber
15:17 Dual Chamber
22:24 Basic Settings
30:34 Conclusion

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[ICUAdvantage]

❗️❗️CORRECTION: ❗️❗️I apologize as I flipped the terminology for sensitivity! The higher the mV, and thus the higher the "fence", the LESS sensitive we are and the LESS chance we will see the rhythm. As we lower the mV thus lowering the "fence" we become more sensitive to the underlying rhythm and have a better chance of seeing it. If we go too low, then we become TOO sensitive and would see all electrical activity as a heartbeat instead of just, for example, the peak of the QRS complex. Hence our threshold is the least sensitive setting (highest mV) to just barely begin to see the underlying rhythm.

In the next lesson on troubleshooting, I will correct this and make sure to explain this better. Sorry for any confusion! 😔

[rba]

This SO helpful. I'm a new grad CVICU RN and this video is significantly more helpful than all the printouts and podcasts I've listened to in trying to understand pacers. Very helpful that you take time to thoroughly explain the basics. Thank you!

[irishrose]

I went in last Thursday for an ablation surgery for AFib. While doing the procedure I went into a 3rd degree heart block and the team immediately went into life saving mode. Airway and placing one of these external pacemaker in my femoral vein until my permanent pacemaker was placed next day. Thank goodness for this technology or I wouldn't be here typing this.

[arseniypetrov]

I absolutely admire your videos. I am a medical student from Germany preparing for my last Board exams. Every textbook I have ever read has always been delivering theoretical knowledge. However, the examinations always expect APPLIED knowledge and understanding the exact steps. Your stuff has been an enormous help

[chamoundong]

Thank you Eddie Watson for your instructional videos. It has definitely helped me learned complex topics in my ICU residency as a new grad. Please keep making new videos. It was a shock to know that you were a grunt. Semper fi.

[krankguy]

I'm very thankful for this lesson. I've gone into lots of articles but I've never grasped the concepts like i did with your help. Keep up the good work! Greetings from Mexico City.

[joanneb]

Always love watching these videos by ICU Advantage, I learn so much.🙂

[judypeng]

I am a nursing student now taking critical care class. Thank you for your amazing videos lol!

[nastiaa]

I wish my attendings and professors could explain these as clear as you do
Good job man God bless you for this channel

[FormationER-ICUCIUSSS-ODIM]

Your video is awesome!! Superbly well explained. Its concise dans straight to the point!
Im a "Old" 24 years ER nurse and been a paramedic for 11 years.

[dildeepjohal]

Mind blowing explanation. You just made it so simple to understand. Gr8 video!

[annnguyen]

Can you do videos about taking care post op open heart surgery patient such as CABG, valve replacement?

[gregsellin]

Another amazing video Eddie. Just started as new grad on days in mixed ICU that gets post-op CABG. Like others have mentioned, we would love more vids on that topic. Thanks for all your great work and hello from San Francisco!

[WiamKhader]

best explaination i had so far about this topics. Thanks

[twinklelight]

Omg, I understand the very complicated concepts of modes and settings thanks to your very detailed and very clear explanation! 👏👏👏❤️

[dhandapani]

Thank you so much. You’re such a blessing

[alexisdinerosvillegasbsnrn]

New grad RN here about to start working on the floor with my preceptor next week.. you help ease my anxiety and improve my confidence in my knowledge. Thank you so much!

[andreawong]

You explain it so well. More than 'like', love it. Thank you so much, Eddie. Keep it up.

[xx_thor_user_xx]

Ecg graph at time 21.00 was super helpful!!

[larobey]

I'm new to CCU and I had a patient with a temp pacer. This helps me to understand so much.