![]() ![]() An “in use” pacemaker should have a new battery placed in the pacemaker on leaving PICU. A pacemaker will be regarded as “in use” once it has left PICU.A new battery should be used for every patient. ![]() Batteries should not be stored in the pacemaker.Batteries rating as WEAK or POOR should be removed from service and disposed off as per hospital policy. All batteries, ie those to be inserted and spares should be tested for charge, using the Battery Tester (model MW333) and should be accepted only if they rate as GOOD.(Ultralife Lithium Cell, 9volt Part No 9VL-FP). 9V Lithium batteries are to be used as the energy source for the pacemakers.This should only be done in an emergency if connecting cables are not available or if there is a specific problem with a connecting cable and a spare is not immediately available. It is possible to connect the myocardial leads directly to the pacemaker. The receptacles are clearly marked “A” for Atrium (colour coded blue) and “V” for ventricle (colour code white). The patient connecting cables should be connected to the connector block at the top of the pacemaker.Temporary myocardial leads placed by cardiothoracic surgeons will be connected to the pacemaker by patient connecting cables (Medtronic 5433A ).Of the 5 positions, the first 3 are relevant to temporary pacemakers) (* Permanent pacemakers are classified using the North American Society of Pacing and Electrophysiology (now the Heart Rhythm Society)/British Pacing and Electrophysiology Generic Code, the NBG code. The Medtronic 5388 (dual chamber) is accepted as the pacemaker to be used for temporary cardiac pacing after cardiac surgery within our hospital (here after referred to as pacemaker).Ī temporary pacemaker system consists of a pacemaker, temporary myocardial lead(s) and patient connecting lead(s) to connect the myocardial lead to the pulse generator. The NBG code will be used to classify temporary pacing modes within our advisory. Its contents are regarded by the faculty as best practice. It is intended for use by nursing and medical staff that are responsible for looking after the aforementioned patients. It is a synthesis of expert opinion, open commentary, manufacturer’s data and in house biomedical engineering studies. It does not cover transvenous pacing, trans-oesophageal pacing or permanent pacemakers. The advisory is a continuum of care and is not limited to the postoperative patient on the PICU. This advisory will cover the peri-operative management, ie from pre operative checking of batteries, intra-operative instillation of pacing wires to the postoperative period on the PICU or cardiology ward of a paediatric patient having temporary epicardial pacing in Yorkhill. ![]()
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