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Contraindication
• Should not be used on patients with cardiac demand pacemakers
Warnings
• The long term effects of chronic electrical stimulation are unknown
• Stimulation should not be applied over the carotid sinus nerves,
particularly in patients with a known sensitivity to the carotid
sinus reflex
• Stimulation should not be applied over the neck or mouth; severe
spasm of the laryngeal and pharyngeal muscles may occur and the
contractions may be strong enough to close the airway or cause
difficulty in breathing
Stimulation should not be applied transthoracically in that the introduction
of electrical current into the heart may cause cardiac arrhythmias
• Stimulation should not be applied transcerebrally
• Stimulation should not be applied over swollen, infected, or inflamed
areas or skin eruptions, e.g., phlebitis, thrombophlebitis, varicose
veins, etc.
Stimulation should not be applied over, or in proximity to cancerous lesions
7


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