Transcutaneous Cardiac Pacing Medication

Updated: Oct 28, 2021
  • Author: Ali A Sovari, MD, FACP, FACC; Chief Editor: Richard A Lange, MD, MBA  more...
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Medication

Medication Summary

The goal of pharmacotherapy is to provide sedation and pain medication to relieve the discomfort, such as burning sensation of the skin and/or skeletal muscle contractions that are associated with transcutaneous cardiac pacing.

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Anxiolytics, Benzodiazepines

Class Summary

Anxiolyticsare used to sedate patients who are conscious and hemodynamically stable, before initiation of pacing.

Midazolam

Midazolam is a shorter-acting benzodiazepine sedative-hypnotic useful in patients requiring acute and/or short-term sedation. Midazolam is also useful for its amnestic effects.

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Pain Management

Class Summary

To decrease the discomfort of transcutaneous pacing, various rapid acting pain medications can be used.

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Opioids

Fentanyl

Fentanyl is a commonly used drug to reduce the pain associated with procedures including transcutaneous cardiac pacing. 

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