RT Book, Section
A1 Gillis, Anne M.
A2 Hall, Jesse B.
A2 Schmidt, Gregory A.
A2 Wood, Lawrence D.H.
SR Print(0)
ID 2284882
T1 Chapter 24. Cardiac Arrhythmias, Pacing, Cardioversion, and Defibrillation in the Critical Care Setting
T2 Principles of Critical Care, 3e
YR 2005
FD 2005
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071416405
LK accesssurgery.mhmedical.com/content.aspx?aid=2284882
RD 2023/09/23
AB Correct  diagnoses  and  understanding  of  arrhythmia  mechanisms  are  crucial  to  successful  arrhythmia  management.The  hemodynamic  effects  of  an  arrhythmia  are  important  in  developing  an  appropriate  treatment  strategy.Predisposing  conditions  and  reversible  causes  should  be  recognized  and  corrected.Knowledge  of  antiarrhythmic  drug  therapy,  cardiac  pacing,  electrical  cardioversion,  and  defibrillation  are  essential  to  successful  arrhythmia  management.The  proarrhythmic  potential  of  antiarrhythmic  drugs  must  be  recognized  and  preventive  measures  taken  whenever  possible.Knowledge  of  antiarrhythmic  drug  pharmacokinetics  and  pharmacodynamics  and  the  effect  of  multisystem  organ  disease  on  these  parameters  are  important  in  preventing  drug  toxicity.The  intensivist  should  be  skilled  in  the  implantation  of  temporary  pacing  systems,  external  cardioversion,  and  defibrillation.The  intensivist  should  recognize  when  temporary  and  implantable  pacemakers  or  cardioverter  defibrillators  are  not  functioning  appropriately.Not  all  arrhythmias  require  long-term  prophylactic  treatment.