Asked by: Wieslawa Gruart
medical health heart and cardiovascular diseases

Where do pacer pads go?

Last Updated: 11th January, 2020

During transcutaneous pacing, pads are placed on the patient's chest, either in the anterior/lateral position or the anterior/posterior position. The anterior/posterior position is preferred as it minimizes transthoracic electrical impedance by "sandwiching" the heart between the two pads.

Click to see full answer.

Also asked, how do you put a pacer pad on?


  1. place pads in AP position (black on anterior chest, red on posterior chest)
  2. connect ECG leads.
  3. set pacemaker to demand.
  4. turn pacing rate to > 30bpm above patients intrinsic rhythm.
  5. set mA to 70.
  6. start pacing and increase mA until pacing rate captured on monitor.

Beside above, what rhythms require transcutaneous pacing? How to provide transcutaneous pacing

  • hemodynamically unstable bradycardias that are unresponsive to atropine.
  • bradycardia with symptomatic escape rhythms that don't respond to medication.
  • cardiac arrest with profound bradycardia (if used early)
  • pulseless electrical activity due to drug overdose, acidosis, or electrolyte abnormalities.

Correspondingly, can you touch a patient while pacing?

You can still touch the patient, and even perform CPR, as the electricity delivered during pacing is not enough to harm the provider. However, it is still electricity, and providers should use common sense.

How do you Cardiovert?

  1. Your nurse or doctor will place an IV (intravenous line) in your arm and give you medicine (sedative) to make you sleepy.
  2. Your doctor will deliver an electrical shock through two paddles.
  3. Your doctor will check to see if your heartbeat is regular.

Related Question Answers

Lidiane Minguet


What is an external pacemaker?

Cardiac stimulation is carried out by delivering a pulse of electrical current through the electrode catheter from an external pacemaker (stimulator) to the cardiac surface. Such an electrical impulse depolarizes cardiac tissue near the pacing electrode, which then propagates through the heart.

William Kastingschafer


What is demand pacing mode?

Demand Pacing. In the demand mode, the pacemaker delivers an impulse only when it is needed. The demand pacemaker searches for intrinsic cardiac activity. If it does not detect or sense a beat within a designated interval it will deliver a pace impulse.

Fabrice Urios


What is TCP in ACLS?

A: TCP means transcutaneous pacing. Q: What is chemical pacing? A: Chemical pacing is when IV medications (epinephrine or dopamine) are used to increase the heart rate rather than the transcutaneous pacing which uses electricity to increase the heart rate.

Coletta Bruers


Can you pace pea?

There is no reason to pace PEA. Now, let's review what PEA is really. It is an electrical mechanical disassociation between pacer site and the receptor of the myocardial muscle fibers.

Xiaozhen Offermans


Do you sedate for transcutaneous pacing?

Transcutaneous cardiac pacing may be associated with discomfort such as a burning sensation of the skin, skeletal muscle contractions, or both. Because of this, patients who are conscious and hemodynamically stable should be sedated with a drug, such as midazolam, before initiation of pacing (see Procedural Sedation).

Heleodora Rukhledev


What is capture in cardiac pacing?

Electrical capture occurs when a pacing stimulus leads to depolarization of the ventricles. It is confirmed by ECG changes typical of ventricular complexes — a widening of the QRS complex and a tall, broad T wave, — displayed on the monitor (See Figures 1–3).

Yuhan Hofers


Can movement artefact inhibit the pacemaker?

demand mode; the pacemaker will be inhibited if it detects a spontaneous QRS complex. However, if there is a lot of movement artefact on the ECG this may inhibit the pacemaker. Avoid movement artefact as far as possible. If artefact still appears to be inhibiting the pacemaker, switch to fixed-rate pacing mode.

Nikolaj Laguarda


What is failure to capture?

Failure to capture occurs when a pacing stimulus is generated, but fails to trigger myocardial depolarization. On the ECG, failure to capture is identified by the presence of pacing spikes without associated myocardial depolarization.

Siara Baban


What are the types of pacemakers?

There are three basic kinds of pacemakers:
  • Single chamber. One lead attaches to the upper or lower heart chamber.
  • Dual chamber. Two leads are used, one for the upper and one for the lower chamber.
  • Biventricular pacemakers (used in cardiac resynchronization therapy).

Jurdana Zak


How do I fix failure to capture?

First check the sensing.
  1. Put the pacemaker in a VVI, AAI or DDD mode.
  2. Change the rate to one which is much lower than the patients native rate.
  3. Observe the sense indicator.
  4. Keep decreasing the sensitivity (increasing the mV value)

Kwame Aranceta


What is sensitivity in pacemaker?

One can define the sensitivity of a pacemaker electrode as the minimum myocardial voltage required to be detected as a P wave or R wave, measured in mV. The sensitivity of the pacemaker is actually a setting on the box, where the lower the number, the more sensitive the pacemaker.

Vitoriano Katzwinkel


Where should the pacing spike appear?

Ventricular pacing spikes precede each QRS complex (except perhaps complex #2 — although the QRS morphology in this complex is identical to the rest of the ECG, suggesting that this beat is also paced)

Yuan Zurmahr


How long can a temporary pacemaker be used?

A temporary pacemaker is used in these instances, such as when you have a change in heart rate from open-heart surgery, heart attack, infection, medication or other issues. The pacemaker will stay in place until your heart rate is stabilized, typically for just a few days.

Gertrude Kruell


Does a pacemaker shorten your life?

The results can therefore be considered a new benchmark of life expectancy of patients treated with today's cardiac pacing. It included 1,517 patients who received their first pacemaker for bradycardia (slow or irregular heart rhythm) between 2003 and 2007. Patients were followed for an average of 5.8 years.

Emelina Pannhaus


What is difference between defibrillation and cardioversion?

Electrical cardioversion and defibrillation are procedures in the management of patients with cardiac arrhythmias. Cardioversion is the delivery of energy that is synchronised to the QRS complex, while defibrillation is the non-synchronised delivery of a shock randomly during the cardiac cycle.

Xoaquin Nisa


What if transcutaneous pacing fails?

Transcutaneous pacing can be painful and may fail to produce effective mechanical capture. If cardiovascular symptoms are not caused by the bradycardia, the patient may not improve despite effective pacing.

Estephania Postnikov


What is asystole protocol?

Asystole is defined as a cardiac arrest rhythm in which there is no discernible electrical activity on the ECG monitor. Consequently, it is sometimes referred to as a “flat line.” Confirmation that a “flat line” is truly asystole is an important step in the ACLS protocol.

Imobach Mercklein


What is async pacing?

asynchronous pacing. Cardiac pacing set at a rate independent of the heart's own pacemakers. This allows pacemaking at heart rates that are faster or slower than the patient's diseased pacemaker.

Hicham Gorris


What are the indications for transcutaneous pacing?

Indications: Hemodynamically significant (hypotension, chest pain, pulmonary edema, altered mental status) bradydysrhythmias unresponsive to atropine, asystolic cardiac arrest (more likely to be successful when initiated early after a witnessed arrest–unwitnessed arrest seldom responds to transcutaneous pacing), failed