Why the study?
Can bedside ultrasound be used to confirm mechanical capture during emergency transcutaneous pacing?
Can bedside ultrasound be used to confirm mechanical capture during emergency transcutaneous pacing?
Bedside ultrasound is a useful tool for confirming mechanical capture during emergency transcutaneous pacing when clinical assessment is difficult.
May aid confirmation of transcutaneous pacing capture when clinical assessment is equivocal; leaves open prospective validation before routine adoption.
Clinical confirmation of mechanical capture in emergency transcutaneous pacing is sometimes difficult because of weak pulse volume or interference from skeletal muscle contractions. This report is of a case of using bedside ultrasound for primary confirmation of emergency transcutaneous pacemaker capture, and for differentiating between causes of persistent hypotension despite successful pacing. The technique of ultrasound-guided transcutaneous pacing is described.
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Michael MK Tam (2003) studied this question.
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