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Abstract:
Transcutaneous pacing is a safe and effective treatment for use in a variety of emergent and nonemergent situations. Large anterior and posterior skin electrodes transmit electrical current through the thorax in an attempt to stimulate myocardial contraction. Advantages include its safe and effective use, timeliness and ease of initiation, and economical value. Revisions of the former models allow for improved comfort for the patient; however, many patients continue to find the sensation unacceptable. In the critical care environment, transcutaneous pacing has several implications for nursing.