Validating a manufacturing process for a pacemaker
The circulating nurse or technician is required to prepare and administer medications, and to operate pacing system analyzer.
This practice has been associated with higher risk of hematoma formation compared with that encountered in unanticoagulated patients (up to 20%) .This chapter will summarize the necessary equipments, patient preparation, and implantation techniques.Like any practical skill it is only possible to give a flavor of the methodology in writing, and nothing can replace the practical tuition of an experienced implanter in the pacing theatre during a number of pacemaker implants.Our routine practice is to give 1 gram of cefazolin or vancomycin (in penicillin-allergic patients) one hour before the procedure.
Implantation of pacemaker usually involves a combination of local anesthesia and conscious sedation.
Currently available permanent pacemakers contain a pulse generator and one or more pacing leads.