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Should Percussion Pacing Have a Role in Perioperative Advanced Cardiac Life Support?: A Case Report.
- Chris Giordano, Jordan Miller, and Ilan Keidan.
- From the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida.
- A A Pract. 2018 May 1; 10 (9): 226-228.
AbstractPercussion pacing involves using one's fist to repeatedly strike a patient's left sternal border in a rhythmic manner. The resulting increase in ventricular pressure can trigger myocardial depolarization and subsequent contraction. We describe the successful treatment of acute preoperative symptomatic sinus bradycardia with percussion pacing in a 63-year-old patient scheduled for placement of a gastric feeding tube after trauma involving spinal cord injury. Although no longer included in current advanced cardiovascular life support guidelines, percussion pacing may be a suitable alternative to chest compressions in multitrauma cases where the force of compressions could cause further complications.
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