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Začasna elektrostimulacija srca = Temporary cardiac pacingPehnec, ZlatkoZačasna elektrostimulacija srca se uporablja pri bolnikih s hemodinamsko nestabilnimi bradikardijami, pri katerih je medikamentozno zdravljenje neučinkovito, pri bradikardijah, ki povzročajo prekatne ... motnje ritma, ter za premostitev bradikardij pri AMI, zaradi presežka zdravil, acidobaznih in elektrolitskih motnjah. Spodbujevalniški sistemi se razlikujejo glede na lego elektrod; transkutani spodbujevalnik pošilja električni impulz iz elektrod na koži, transvenozni pa s pomočjo elektrodnega katetra, ki poteka skozi osrednje vene v desni prekat. Transkutana elektrostimulacija srca se uporablja za urgentno spodbujanje do transvenoznega spodbujanja. Za uspešno transvensko spodbujanje sta pomembna izbira venskega pristopa za vstavitev in pravilna lega elektrodnega katetra. Najpogostejši venski pristopi so skozi veno subklavijo, notranjo jugularno veno, femoralno in brahialno veno. Transvensko spodbujanje je enostavno in učinkovito pri večini bolnikov, terja pa določeno izkušenost operaterja. Pri transkutanem spodbujanju nastajajo bolečine v prsnem košu, ki jih bolniki težko prenašajo. Najpogostejši zapleti transvenskega spodbujanja so: premik elektrodnega katetra, predrtje desnega prekata, pnevmotoraks, aritmije, okužbe kože, elektrodnega katetra in bakteriemije.Source: Zbornik predavanj (Str. 179-186)Type of material - conference contribution ; adult, seriousPublish date - 2011Language - slovenianCOBISS.SI-ID - 4044607
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Pehnec, Zlatko | 24592 |
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