Pulseless electrical activity surgery

Resident Survival Guide

Pulseless electrical activity Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

External and internal pacing have not been shown to improve outcome and are not recommended. There may be capture of the signals, but there is no improvement in contractility.

Surgery

Pericardiocentesis and emergent cardiac surgery may be lifesaving procedures in appropriate patients with pulseless electrical activity (PEA). In refractory cases, if the patient has suffered chest trauma, a thoracotomy may be performed, provided adequate expertise is available.