TY - CHAP M1 - Book, Section TI - Temporary Pacemaker Insertion and Management of CV Implantable Electrical Devices in the ICU A1 - Grushko, Michael J. A1 - Gross, Jay N. A2 - Oropello, John M. A2 - Pastores, Stephen M. A2 - Kvetan, Vladimir PY - 1 T2 - Critical Care AB - KEY POINTSBradyarrhythmias occur commonly in the intensive care unit (ICU), and most events do not necessitate temporary pacing.Transient bradycardia often occurs in the setting of enhanced vagal tone or other reversible causes.Temporary pacing should be considered when symptoms or hemodynamic compromise develops secondary to the bradyarrhythmia.Transvenous temporary pacing in the ICU setting generally requires intracardiac electrogram (EGM) guidance.Reliable temporary pacing requires adequate sensing and pacing thresholds, stable position of the lead, and secure connections of the pacing system.Permanently implanted pacemakers and implantable cardioverter-defibrillators (ICDs) generally function well in the standard programmed settings, and apparent “anomalous behavior” may be the result of acute rhythm change or electrolyte abnormalities, rather than device malfunction. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1136419914 ER -