Pacemaker and Implantable Cardioverter Defibrillator (ICD) Insertion for Children
What is a pacemaker and ICD insertion for children?
An artificial pacemaker is a small device placed in the body and connected to the heart with wires (leads). It sends electrical signals to the heart to take control of the heartbeat in the event it slows significantly. Sometimes a pacemaker may be used to control a fast heartbeat. The insertion of a pacemaker requires minor surgery.
Implantable cardioverter defibrillator (ICD) insertion
An implantable cardioverter defibrillator (ICD) is a small device similar to a pacemaker. It is placed in the body and connected to the heart with leads. If the heartbeat is irregular, the ICD sends one or more brief shocks to correct it. If the heartbeat is too slow, the ICD keeps the heart beating at a more normal rate. The insertion of an ICD requires minor surgery.
Why might my child need a pacemaker or an ICD?
The heart has a natural pacemaker. When the natural pacemaker doesn’t work as it should, the heartbeat may be too fast, too slow, or irregular (arrhythmia). Your child may need a pacemaker or ICD for some types of arrhythmias. This is especially true for arrhythmias that cause severe symptoms.
An artificial pacemaker keeps the heartbeat regular. An ICD corrects sudden irregular heart rhythms that may be life threatening. It also keeps the heartbeat regular.
What are the risks of a pacemaker/ICD insertion for a child?
The complications of having either device put in the body may occur with any surgery. They include:
- Bleeding, swelling, or bruising at the site of the insertion
- Reactions to medicines
And with an ICD, unnecessary shocks may actually cause arrhythmias or heart damage.
The wires attaching the devices to the heart are permanent. But in some cases, the leads may need to be removed. This might be for infection or if the tissue is penetrated. This can be very high risk.
How do I get my child ready for a pacemaker/ICD insertion?
What you do depends on your child’s age. If your child is old enough, explain what will happen in a way that he or she can understand. You might ask the cardiologist or nurse to help explain the procedure to your child, too.
Make sure your child follows all instructions about eating, drinking, and taking medicines before the device insertion. If your child becomes sick before the procedure, call the provider’s office.
What happens during a pacemaker/ICD insertion for a child?
Pacemaker/ICD insertion is done in the hospital. This is either in a heart lab or an operating room.
Before the procedure, your child will get medicine (sedative) to relax him or her. And he or she will likely be given medicine to sleep (general anesthesia) once in the lab or operating room.
The devices have 2 main parts. They are the wires (leads) and the generator.
- In older children, the healthcare provider makes a cut (incision) and stitches the generator under the skin just below the collarbone. The leads are passed through a vein and into the heart.
- In younger children, the provider makes an incision and may put the generator in the abdomen. The leads may be placed on the surface of the heart.
While still in the lab or operating room, the provider will check it to make sure the device is working correctly.
What happens after a pacemaker/ICD insertion for a child?
After the pacemaker or ICD is inserted, your child will be watched closely for a few hours. He or she may be sleepy for several hours. Some children go home the same day. Some stay in the hospital overnight. Before you take your child home you will get information about:
- The pacemaker or ICD, including the model and any special instructions
- Caring for the wound, including making sure it stays clean and dry
- Watching for infection, including such as watching for redness, swelling, drainage, or fever
- Follow-up appointments
- Limits on activities
Before you agree to the test or the procedure for your child make sure you know:
- The name of the test or procedure
- The reason your child is having the test or procedure
- What results to expect and what they mean
- The risks and benefits of the test or procedure
- When and where your child is to have the test or procedure
- Who will do the procedure and what that person’s qualifications are
- What would happen if your child did not have the test or procedure
- Any alternative tests or procedures to think about
- When and how will you get the results
- Who to call after the test or procedure if you have questions or your child has problems
- How much will you have to pay for the test or procedure
1351Baby shower guest sign in ideas
2533Boy baby shower decorations ideas
1607Girl baby shower favors ideas
23705Intermittent Fasting – Is It Safe For Children?
1791TOP 10 Girl baby shower themes ideas for 2017
23689It is Safe to Eat Raw Meat – A Guide to Choosing the Right Type
600Baby shower fruit tray ideas
4319Baby shower afternoon tea ideas
23735IBS, Depression, and Skin Problems in Fructose Malabsorption
1909Purchase The Special Twin Baby Shower Cakes From Your Local Stores
23715Understanding Poop – Constipation, IBS, and Other Digestive Disorders
3923Baby shower snack ideas pinterest
218710 Useful Triplet baby shower ideas for you!
4291High tea baby shower ideas – 10 ways to have a High tea baby shower party!
554Welcoming a Baby Angel in Style with the Best Baby shower souvenir ideas
2041Planning a Baby shower program ideas – detailed guide
2553TOP 10 Baby girl baby shower food ideas
2463Baby shower ideas pinterest boy
1709Cute baby shower snack ideas
2805Baby shower centerpiece ideas for boys
23750High Carb Diets Can Cause Morning Sickness
4155Ideas for baby shower presents
3535Baby shower card wording ideas
1100Martha stewart baby shower ideas
23722Security Blankets and Other Comfort Objects
1535New baby shower ideas
2679Baby boy shower ideas food
3795Baby shower invitation ideas diy
3113Pink baby shower theme ideas
3967Simple baby shower cake ideas for a girl
2907Baby shower tips and ideas
480Gift ideas for baby shower games
2981Yellow and pink baby shower ideas
1227Ideas for baby shower for a boy
22688Week 39 of Pregnancy – Love Eternal
382Couples baby shower ideas