Key result
Temporary transvenous cardiac pacing was associated with complications or problems in 68 of 194 patients (35%), highlighting the risks of the procedure when performed predominantly by junior doctors.
Why the study?
What are the current practices and immediate complications of temporary transvenous cardiac pacing in British district general hospitals?
Observational (n=194)
Yes
What are the current practices and immediate complications of temporary transvenous cardiac pacing in British district general hospitals?
This prospective study aims to document the practice and immediate complications of temporary cardiac pacing in British district general hospitals.
High complication rates urge caution and closer supervision for junior-performed temporary pacing in district hospitals; leaves open optimal training strategies.
Information about the practice and complications of temporary cardiac pacing is remarkably limited. In Britain only two series have been published, and both reported the problems in patients referred to a regional cardiothoracic centre for permanent pacing who had undergone temporary pacing before transfer.1 2 This paper reports the first prospective study of temporary cardiac pacing in British district general hospitals. Of the 20 acute hospitals in the former Northern region, 18 participated in this six month prospective study. After each attempted pacing, the coronary care nursing staff completed a form which documented demographic details, the indication for pacing, and who performed (and supervised) the procedure. When more than one operator was involved the more senior doctor was recorded. Immediate complications (apparent by the end of the …
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Jeremy J Murphy (1996) conducted an observational in Conditions requiring temporary cardiac pacing (n=194). Temporary transvenous cardiac pacing was evaluated on Complications or problems with pacing. Temporary transvenous cardiac pacing was associated with complications or problems in 68 of 194 patients (35%), highlighting the risks of the procedure when performed predominantly by junior doctors.
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