The section, EDAIC Multiple Choice Question with an explanation, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
Question: Identify the correct statements regarding cardiac pacemakers
- The pacemaker code consists of five letters; the first four being essential while the fifth letter is for an additional feature.
- VVIR is the commonest pacemaker mode.
- Patients with a pacing burden of more than 20% are called pacemaker-dependent.
- Placing magnet always programmes a PM to asynchronous pacing without rate response.
- Succinylcholine can be safely used in patients with PPM.
Answers:
- false
- false
- false
- false
- false
ANAESTHETIC IMPLICATIONS OF THE CARDIAC IMPLANTABLE ELECTRONIC DEVICES (CIEDs)
Explanation:
- PM code comprises of 5 letters;Â the first 3 are essential and the last 2 are for additional features
- DDD is the most common PM mode in clinical practice
- Patients with a Pacing burden of more than 40% are labelled PM dependent
- Placing a magnet over a PPM can have variable effects
- • Asynchronous pacing without rate response.
- • No apparent change in rate or rhythm.
- • Brief asynchronous pacing (10–64 beats).
- • Continuous or transient loss of pacing.
- Muscle fasciculations induced by suxamethonium may be sensed as intrinsic cardiac activity leading to inhibition of pacing. Use of Sch should be avoided, or PM set to the asynchronous mode before surgery. Giving a small defasciculating dose of NDMR may help in the prevention of fasciculations
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‘EDAIC Multiple Choice Question with an explanation’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.