Transvenous Pacing - Procedure Instructions Step 1. Place the introducer - ideally in R IJ or L Subclavian Step 2. Prep the Pacer Wire Step 3. Set up the Box - Connect the Pacer Wire + Generator Box - Initial Box Settings - Trouble Shooting the Box Step 4. Floating the Wire - Insert the pacer wire to approx 20 cm - Inflate the balloon with 1-1.5 cc air - Advance wire with balloon up until you see jump in heart rate - Deflate balloon (leave syringe on) - Extend the sterile sheath Step 5. Adjust Pacer Settings Step 6. Secure the Wire Step 7. Confirm Placement Dr. Alexis Pelletier-Bui, MD #Transvenous #Pacing #Pacemaker #Procedure #Instructions #supplies
