Emergent transvenous cardiac pacing in the emergency department: a case series

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作者

Renaldo Pavrey¹ , Sonal Raj¹ , Nisha Das¹

1. Nanavati Max Super Speciality Hospital, Mumbai

会议/活动

EMCON 2023: 25th Annual National Conference of Society for Emergency Medicine India, October 2023 (Hyderabad, India)

海报摘要

Trans-venous cardiac pacing is potentially life-saving. It involves two components: Obtaining a central venous access, and intra-cardiac placement of a pacing wire. This case study describes our experience with trans-venous catheter placement in a small series of patients who needed emergent temporary cardiac pacing in the Emergency Department (ED). We attempt to answer the pressing question: Does a trained Emergency Physician (EP) in a structured ED with the skills to perform a trans-venous cardiac pacing make a difference?

关键词

Transvenous pacing, Emergency department, Emergency medicine, Brady-arrhythmias, Resuscitation

研究领域

Biological Sciences, Medicine

参考文献

1. Kaushik V, Leon AR, Forrester JS Jr, Trohman RG. Bradyarrhythmias, temporary and permanent pacing. Crit Care Med 2000; 28:N121–8.
2. Duarte T, Gonçalves S, Sá C, Marinheiro R, Fonseca M, Farinha J, et al. Permanent cardiac pacing for patients with iatrogenic or potentially reversible bradyarrhythmia. Rev Port Cardiol 2019; 38:105–11.
3. Dreifus LS, Michelson EL, Kaplinsky E. Bradyarrhythmias: clinical significance and management. J Am Coll Cardiol 1983; 1:327–38.
4. Knudsen MB, Thøgersen AM, Hjortshøj SP, Riahi S. The impact of drug discontinuation in patients treated with temporary pacemaker due to atrioventricular block. J Cardiovasc Electrophysiol 2013; 24:1255–8.
5. Harikrishnan P, Gupta T, Palaniswamy C, Kolte D, Khera S, Mujib M, et al. Complete heart block complicating ST-segment elevation myocardial infarction: temporal trends and association with in-hospital outcomes. JACC Clin Electrophysiol 2015; 1:529–38.
6. Farkas JD, Long B, Koyfman A, Menson K. BRASH Syndrome: Bradycardia, renal failure, AV blockade, shock, and hyperkalemia. J Emerg Med 2020; 59:216–23.

基金

暂无数据

补充材料

暂无数据

附加信息

利益冲突

No competing interests were disclosed.

数据可用性声明

The datasets generated during and / or analyzed during the current study are available from the corresponding author on reasonable request.

知识共享许可协议

Copyright © 2024 Pavrey et al. This is an open access work distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.