[A new technique for the application of stimulating electrodes in emergencies]

The epigastric-epicardial method is taken from the puncture technique of the pericardium and always leads to effective actions of pacemakers. The method makes possible rapid approach, is to be performed in circulatory standstill, is little stressing for the patient also during longer periods of stimulation and leads to a stable position of the electrodes. At the arrested heart it is clearly superior to the deposition technique. The pacemakers used should poses a sufficient initial tension. For a regular position of the electrode speak beating of the heart against the canule, lead of a cardiac ECG and effective actions. The method is suitable for the secure care of patients who need a pacemaker, also awake patients, during longer periods and transport ways and may be recommended at first for inpatients. Which other possibilities, but also complications are included in the method, is reserved to further experiences.