Cardiac transvenous pacing in the retrieval setting: a retrospective case series

Remilton, Lucinda E., Hesselfeldt, Rasmus, and Mazur, Stefan M. (2019) Cardiac transvenous pacing in the retrieval setting: a retrospective case series. Emergency Medicine Australasia, 31 (4). pp. 575-579.

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Abstract

Objectives To report on the safety and efficacy of transvenous cardiac pacing wire insertion outside a tertiary hospital by a medical retrieval service. Methods SAAS MedSTAR Emergency Medical Retrieval Service transports symptomatic bradycardic patients in rural South Australia to Adelaide on transvenous pacing for ongoing management. This is a retrospective case review of all transvenous cardiac pacing wires inserted by SAAS MedSTAR between January 2015 and October 2017. Results This study demonstrated successful insertion of cardiac transvenous pacing wires and cardiac capture in 10 of 11 cases (91%) by pre-hospital and retrieval doctors. There were no immediate or long-term complications from insertion. All of the patients were successfully transferred by helicopter or fixed wing to their receiving facility, with nine of the 11 patients (82%) surviving to hospital discharge. Conclusion This paper demonstrates that transvenous cardiac pacing can be safely and successfully implemented for symptomatic patients by pre-hospital and retrieval physicians in the aeromedical retrieval setting.

Item ID: 60091
Item Type: Article (Research - C1)
ISSN: 1742-6723
Keywords: bradycardia, pacing, pre-hospital, retrieval medicine, safety
Copyright Information: © 2019 Australasian College for Emergency Medicine
Date Deposited: 07 Aug 2019 07:34
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110305 Emergency Medicine @ 70%
11 MEDICAL AND HEALTH SCIENCES > 1102 Cardiovascular Medicine and Haematology > 110201 Cardiology (incl Cardiovascular Diseases) @ 30%
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