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Pacemaker insertion for prehospital bradyasystolic cardiac arrest

โœ Scribed by Joseph P Ornato; William L Carveth; John R Windle

Publisher
Elsevier Science
Year
1984
Tongue
English
Weight
275 KB
Volume
13
Category
Article
ISSN
1097-6760

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โœฆ Synopsis

We investigated the use of transvenous (TV) and transmyocardia] (TM) pacemakers m the emerger~cy department (ED) in 54 adult patients (42 men and 12 women) with bradyasystolic cardiac arrest. Down time prior to cardioptdmonary resuscitation (CPR) was 4.8 +_ 4.3 minutes. Time in the ED prior to pacer insertion was 26,9 +_ 17.7 minutes. Electrical capture rate was 63%. Pulse developed in 5%. Only 1.2% were admitted, and none was discharged alive. There was no significant difference in capture rate for TV versus TM pacers or in capture rate whether the pacer was inserted early or late after ED arrival. We conclude that ED pacer insertion for such patients does not alter survival rates.

๐Ÿ“œ SIMILAR VOLUMES

Transcutaneous pacing for bradyasystolic
Transcutaneous pacing for bradyasystolic cardiac arrests in prehospital care
โœ Paul M Paris; Ronald D Stewart; Richard M Kaplan; Robert Whipkey ๐Ÿ“‚ Article ๐Ÿ“… 1985 ๐Ÿ› Elsevier Science ๐ŸŒ English โš– 419 KB

To test the efficacy of transcutaneous pacing in prehospitaI bradyasystolic arrest, we applied an external transcutaneous pacing device to patients with asystole, pulseless idioventricular rhythms (PIVR), and pulseless bradycardias. Pacemaker units were carried by emergency medical services (EMS) ph

Use of transcutaneous cardiac pacing in
Use of transcutaneous cardiac pacing in the Emergency Department for treatment of Prehospital bradyasystolic cardiopulmonary arrest
โœ R O'Connor; C Reese; A Lombardi; J Feldstein; W Weisberg ๐Ÿ“‚ Article ๐Ÿ“… 1985 ๐Ÿ› Elsevier Science ๐ŸŒ English โš– 146 KB

These results support the concept that cardiac pacing must be initiate d early if the outcome of bradyasystolic cardiac arrest is to be altered. pital. Misplacement of the pacing catheter tip may contribute to the poor success rate of transvenous pacing during CPR.