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.
❤️ THE MOST ADORABLE HEART PLUSH TOY!!! amzn.to/2RmEtUc
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
🙏🙏 A Special THANK YOU to KZbin and Patreon Members!!! 🙏🙏
KZbin Members:
👏🏼 Nondumiso, Martin, Conor, Angel, Tina, Salah, Jharna, LIVE LIFE, Swaroop, RNMedic289, Mero, Shabbir, Carmen, Theresa, llance, Joseph, Dr Parmer, Danielle, Maria, Frank, Anthony, Jospeh, Neel, Sham, Ly, Kevin, Oscar, Deborah, Faith, Yanet, Mohamed, Kmedic, Samuel, Mero, Shayna, La Robey, Raj, Teya, Eduardo, Krishna, Christopher, Temitope, Alison, Shyamkumar, Merlyn & Shabbir!
Patreon Members:
🥇Trauma Team: Carlos, Frisco, Remigio, Nereida, Sarah Grace & Alli!
🥈Rapid Response Team: Quetina, Stephanie, Ty, Dav, Sherri-lynn, Emily, Jackson, Ampa, Yulia & Joseph!
🤔Curious how you can show your support?
I recently activated the KZbin channel membership to go along with the Patreon page. On these, I provide extra content and incentives to our amazing fans! The additional support will go directly towards improving this channel and making it even better for you.
If you are interested in supporting ICU Advantage....
on KZbin channel membership head over to: / @icuadvantage
on Patreon head over to: / icuadvantage
If not, no worries, as you watching videos here, liking them, commenting and sharing them also really help to support the channel! 😍
📚📖BOOKS I RECOMMEND
✔️Barron’s CCRN Exam: amzn.to/2MFWIkH
✔️Pass CCRN!: amzn.to/36apxgN
✔️AACN Essentials of Critical Care Nursing: amzn.to/2F5riQs
✔️Kaplan Adult CCRN Review: amzn.to/37igv1t
✔️Marino’s The ICU Book: amzn.to/2ZzKP4Y
🩺🏥🖊SOME OF MY FAVORITE NURSING GEAR
✔️3M Littmann Master Cardiology Stethoscope: amzn.to/2sn0wR5
✔️Rip Shears - Trauma Shears: amzn.to/35diZwR
✔️Leatherman - Raptor Shears: amzn.to/2MGF801
✔️Stethoscope Tape Holder: amzn.to/2snWkAy
✔️Pilot FriXion Erasable Pens: amzn.to/2Qw9pQg
💻🎙GEAR THAT I USE TO MAKE THESE VIDEOS
✔️Apple Pencil: amzn.to/368qS83
✔️iPad Pro 12.9”: amzn.to/367s2QV
✔️Blue Yeti Mic: amzn.to/2Q7vrK9
✔️MacBook Pro 15”: amzn.to/2tcDegM
👍🏼👍🏼👍🏼
If you enjoyed this video or found it useful, please hit the like button as this greatly helps our channel out! Also make sure and subscribe and hit the bell icon and select all notifications to stay up to date on our latest videos!
👁🎥👁🎥
Check out these other great lessons and series of lessons below!
✅ Hemodynamics: • Hemodynamic Principals
✅ Shock: • Shock
✅ ECG/EKG Rhythm Interpretation: • ECG/EKG Interpretation
✅ ICU Drips: • ICU Drips
✅ ECMO: • ECMO
✅ CRRT: • CRRT Explained!
⚠️⚠️ DISCLAIMER: Links included in this description are affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you!
❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.
#ICUAdvantage #Pacemaker #Nursing

[@alysendonahue5086]

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]

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

[@clemon0986]

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

[@ICUAdvantage]

You are more than welcome! Glad you liked it.

[@c.m.c2307]

Love the sensitivity/fence analogy, made so much sense

[@melaniegalicia1554]

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

[@ICUAdvantage]

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!

[@twinklelight1362]

Wonderful explanation! Thanks so much!

[@rogervanbommel1086]

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]

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!

[@alshiglyalshigly1750]

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

[@tapashimnath1680]

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

[@ICUAdvantage]

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

[@eckoman92]

Great content brother. You make a great teacher!

[@ICUAdvantage]

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

[@jasonwinward4698]

Great lecture!

[@jjaldin5769]

Outstanding!

[@ICUAdvantage]

Thank you kindly!

[@hangxiang8466]

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

[@hafizsalih8943]

That is just amazing, well done

[@ICUAdvantage]

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

[@sabahelshayeb9664]

Amazing explanation, Thank You very much

[@ICUAdvantage]

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

[@carlangelo9430]

Thank u for this!

[@drewg3087]

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]

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]

@@ICUAdvantage awesome

[@MrHugoTaz]

Thanks a lot! Great content!

[@ICUAdvantage]

Thank you so much!

[@Abbie725]

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

[@ICUAdvantage]

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

[@amallibeckham2726]

Yes please!

[@amallibeckham2726]

This video is VERY helpful. Thanks you so much.

[@terrywinther158]

Your lessons make me a better preceptor

[@ICUAdvantage]

Glad to hear this Terry! Lifelong learning!

[@afimihdis5832]

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

[@ICUAdvantage]

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. :)

[@jaynearthur4016]

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

[@sinijacob5355]

very good

[@ICUAdvantage]

Thank you!

[@ethanhunt5913]

Amazing

[@ICUAdvantage]

Thank you!

[@etlay5684]

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

[@dreamland9328]

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!

[@jincyck967]

Can you explain about bi ventricular pacing

[@jeangray6863]

You're fantastic

[@ICUAdvantage]

Thank you!

[@XX-fv9kc]

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]

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

[@matildemilani4467]

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]

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]

Best

[@ICUAdvantage]

TY!

[@jeangray6863]

A bit difficult to understand

[@ICUAdvantage]

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

[@Tofy-]

الله يرحم بطن جابتك