Troubleshooting Pacemaker Problems EXPLAINED!

For the final lesson in the Temporary Pacemaker series, we take a look at troubleshooting common pacemaker problems. There are many different ways in which our temporary pacemakers might not be operating how they should, and this lesson will dive in to the most common ones, helping you to not only identify them, but to determine the potential causes and more importantly, fixes to get back to appropriately pacing your patient.
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0:00 Intro
1:22 Sensitivity Review
5:06 View Intrinsic Rhythm
6:50 Failure to Capture
9:44 Failure to Pace
14:16 Failure to Sense
16:20 Other Issues
18:12 Conclusion
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Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
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✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
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#ICUAdvantage #Pacemaker #Nursing

Пікірлер: 56

  • @alysendonahue5086
    @alysendonahue50865 ай бұрын

    ugh thank you thank you thank you! I just started in a CTSICU as an RN and temporary pacers have always scared me a little because I didn't fully understand them...this series helped a ton!

  • @ICUAdvantage

    @ICUAdvantage

    4 ай бұрын

    Honestly when I transitioned to CVICU (or floated there previously), TVPs always scared me!

  • @c.m.c2307
    @c.m.c2307 Жыл бұрын

    Love the sensitivity/fence analogy, made so much sense

  • @twinklelight1362
    @twinklelight13622 жыл бұрын

    Wonderful explanation! Thanks so much!

  • @clemon0986
    @clemon09863 жыл бұрын

    this channel is a treasure! thanks for sharing your knowledge!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    You are more than welcome! Glad you liked it.

  • @alshiglyalshigly1750
    @alshiglyalshigly1750 Жыл бұрын

    That's very helpful, thank you very much for your efforts

  • @melaniegalicia1554
    @melaniegalicia15543 жыл бұрын

    I am glad I found this channel.I am learning a lot. Thanks so much

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    I'm happy you have found it Melanie and so glad that these videos are helpful for you! Thank you for taking the time to leave a comment!

  • @rogervanbommel1086
    @rogervanbommel10863 жыл бұрын

    Hi, you are one of the best resources, and probably the best free one, I also really appreciate it you take the time to read all the comments and even respond

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow, thank you so much Roger. That really means a lot to me. I'm happy to be able to help and I really enjoy interacting with everyone in the comments. It's getting harder to keep up with them all as the channel grows, but I'm going to try to keep up as long as I can!

  • @hangxiang8466
    @hangxiang84662 жыл бұрын

    Great talks! I really learned a lot from your vedio. Thanks a lot!

  • @jasonwinward4698
    @jasonwinward4698 Жыл бұрын

    Great lecture!

  • @eckoman92
    @eckoman923 жыл бұрын

    Great content brother. You make a great teacher!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you so much! I appreciate that. Glad you liked it!

  • @jjaldin5769
    @jjaldin57693 жыл бұрын

    Outstanding!

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you kindly!

  • @tapashimnath1680
    @tapashimnath16803 жыл бұрын

    Excellent.. Too good.. This is called ultimate knowledge n confidence.. God bless u boss

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow, thank you so much! Glad you liked it!

  • @hafizsalih8943
    @hafizsalih89432 жыл бұрын

    That is just amazing, well done

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Thank you so much Hafiz! Really glad you liked it and I appreciate the kind words.

  • @sabahelshayeb9664
    @sabahelshayeb96643 жыл бұрын

    Amazing explanation, Thank You very much

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Wow, thank you so much! Really glad you liked it Sabah!

  • @carlangelo9430
    @carlangelo94309 ай бұрын

    Thank u for this!

  • @MrHugoTaz
    @MrHugoTaz Жыл бұрын

    Thanks a lot! Great content!

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Thank you so much!

  • @terrywinther158
    @terrywinther158 Жыл бұрын

    Your lessons make me a better preceptor

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Glad to hear this Terry! Lifelong learning!

  • @drewg3087
    @drewg3087 Жыл бұрын

    So helpful as a new nurse! Came right here after work. Thank you for getting me through school and helping me as a new nurse!

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Glad to hear that you are able to still come back and find the videos helpful! Truly happy knowing they help so thank you.

  • @drewg3087

    @drewg3087

    Жыл бұрын

    @@ICUAdvantage awesome

  • @Abbie725
    @Abbie7253 жыл бұрын

    Thank you for this series on Temporary pacing and troubleshooting ! Would you be able to make a video on therapeutic hypothermia?

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    You are welcome. And yes! I do have that on the todo list!

  • @amallibeckham2726

    @amallibeckham2726

    3 жыл бұрын

    Yes please!

  • @amallibeckham2726

    @amallibeckham2726

    3 жыл бұрын

    This video is VERY helpful. Thanks you so much.

  • @jaynearthur4016
    @jaynearthur40165 ай бұрын

    Awesome videos! Question. I must have missed it somewhere, but can you help me understand the LBBB pattern with RV placement?

  • @dreamland9328
    @dreamland9328Ай бұрын

    great video! I do have a question if you can help me understand, and please correct me if i am not interpreting this correctly: When the problem is failure to pace, no pacer spikes, the problem could be oversensing, so the sensitivity is high (mV low/ fence is low) so we have to increase the mV (aka bring the fence up) which will lower that sensitivity But when the problem is failure to sense, oversensing is when sensitivity is low (mV high/ fence is high) so we have to decrease the mV (bring the fence up) which will increase the sensitivity This is confusing for me because oversensing would have two contradicting definitions. Thank you!

  • @afimihdis5832
    @afimihdis58323 жыл бұрын

    Awsome explanations. Do you have videos demonstrating the trouble shooting or setting up the pacemaker?

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    I don't have any videos of using the actual device or setting it up. Given the different nature of different pieces of equipment, I've choose not to do practical hands on stuff like that and hope to lay a good foundation to help you understand that for whatever piece of equipment you use. :)

  • @ethanhunt5913
    @ethanhunt59132 жыл бұрын

    Amazing

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    Thank you!

  • @sinijacob5355
    @sinijacob53553 жыл бұрын

    very good

  • @ICUAdvantage

    @ICUAdvantage

    3 жыл бұрын

    Thank you!

  • @etlay5684
    @etlay5684 Жыл бұрын

    Hi Andy , sometimes I see the spike followed by a normal looking but not wide looking QRS, is it failure to capture as well? Thanks

  • @jeangray6863
    @jeangray6863 Жыл бұрын

    You're fantastic

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Thank you!

  • @XX-fv9kc
    @XX-fv9kc2 жыл бұрын

    Hello! Thank you for the video. I have a question: how come the spikes produced by the pacemaker when its failing to sense don't produce additional ventricular or atrial contractions following the hearts own beat if its not sensing it?

  • @hannahswartz1288

    @hannahswartz1288

    2 жыл бұрын

    Hi! I believe it depends on where in the cardiac cycle the spike is fired- for example if the spike is delivered right after the qrs that means the ventricles just contracted- if the ventricles attempt to contract again- this is when r on t can occur sending the patient into vtach or vfib, so it can happen, and is very dangerous, that is why if you see inappropriate spikes you immediately begin to trouble shoot

  • @jincyck967
    @jincyck967 Жыл бұрын

    Can you explain about bi ventricular pacing

  • @matildemilani4467
    @matildemilani4467 Жыл бұрын

    Hi! thank you very much for your videos! If I may ask you a question, the ekg at 10:07 seems to be a ventricular paced rythm (wide QRS) just without the "spikes sign". When not paced, shouldn it be a sinusal rythm, with che classical pattern P-QRS-T waves? Thank you again for you time

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Sorry I missed this for so long. So to answer your question, it really just depends what the patients rhythm is underlying. If they are a sinus rhythm (SB, etc) then yes. They could be junctional, or 3rd degree, or ventricular. Just depends.

  • @najmiusman7028
    @najmiusman70282 жыл бұрын

    Best

  • @ICUAdvantage

    @ICUAdvantage

    2 жыл бұрын

    TY!

  • @Tofy-
    @Tofy-3 жыл бұрын

    الله يرحم بطن جابتك

  • @jeangray6863
    @jeangray6863 Жыл бұрын

    A bit difficult to understand

  • @ICUAdvantage

    @ICUAdvantage

    Жыл бұрын

    Yeah, its definitely not a straight forward thinking. Anything in particular I can hep try and clarify?