Internal Defibrillator Paddles
Internal Paddles · Internal Defib Paddles · Internal Defibrillation Paddles · Sterile Internal Paddles · Pediatric Internal Paddles
A pair of insulated handles, each ending in a round, slightly cupped metal spoon electrode, joined to one long cable with a plug for the defibrillator. Some have a discharge button on the handle.
On the table
What it does, the lengths it comes in and what experienced techs know about it.
What it’s for
shockshokA life-threatening state in which blood flow is too low to bring enough oxygen to the body's tissues.Full entry the heart directly when the chest is open, as in ventricular fibrillationven-TRIK-yuh-ler fib-ruh-LAY-shunA heart rhythm in which the lower chambers quiver in a fast, chaotic way instead of pumping.ventricul/o ventricle-ar relating tofibrill small fiber, twitching-ation processFull entry during cardiac surgery or when the heart does not start beating on its own after bypass. They are kept sterile and ready on the field. The surgeon places one paddle on each side of the heart and asks the circulator to set the charge.
Lengths and variants
Several spoon sizes; smaller paddles are used for infants and children. One maker offers 2.5 cm (1 inch), 5.1 cm (2 inch) and 7.6 cm (3 inch) spoons. Some are fired from the handle button, others from the defibrillator.
What experienced techs know
What techs who reach for it every day know about it.Pro
Through the case
In the order you meet it: before, during and after the case.
- Before the case
Inspection and testing
What to check before it reaches the field.Pro
- During the case
Caution
What not to do with it, and why.Pro
- After the case
Care and reprocessing
How it is cleaned, checked and sent back to sterile.Pro
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4 sources
- Fuller JK. Surgical Technology: Principles and Practice. 8th ed. Chapter 32 (Cardiac Surgery), p. 905
- Rothrock JC. Alexander's Care of the Patient in Surgery. 17th ed. Chapter 25 (Cardiac Surgery), p. 927-928, 960
- Goldman MA. Pocket Guide to the Operating Room. 3rd ed. Chapter 22 (Cardiac Surgery), p. 519, 530
- Mindray. Internal Defibrillation Paddles Instructions for Use (MR6501, MR6502, MR6503): storage.mtender.gov.md
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