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Percussive pacing, also referred to as transthoracic mechanical pacing, is using the closed fist, typically at the left decrease edge of the sternum over the proper ventricle in the vena cava, putting from a distance of 20 – 30 cm to set off a ventricular beat (the British Journal of Anaesthesia shows this ought to be completed to raise the ventricular strain to 10–15 mmHg to set off electric activity). This is an old procedure used best as a life-saving means until an electrical pacemaker is introduced to the patient.