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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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: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320207 Emergency medicine @ 70%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3201 Cardiovascular medicine and haematology > 320101 Cardiology (incl. cardiovascular diseases) @ 30%
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