Key result
The improved simple bedside method for emergency temporary pacemaker implantation significantly reduced operation time to 18 minutes compared to 43 minutes with X-ray guidance (P < 0.05), with similar success and complication rates.
Why the study?
The study was conducted to evaluate the safety, effectiveness, and practicability of an X-ray-free improved simple bedside method for emergency temporary pacemaker implantation in primary hospitals.
Does an improved X-ray-free simple bedside method reduce operation time and maintain safety compared to X-ray-guided implantation for emergency temporary pacemakers in patients with severe bradyarrhythmia?
RCT (n=190)
Open-label
Stochastic
No
Does an improved X-ray-free simple bedside method reduce operation time and maintain safety compared to X-ray-guided implantation for emergency temporary pacemakers in patients with severe bradyarrhythmia?
Absolute Event Rate: 18% vs 43%
p-value: p=<0.05
An improved X-ray-free bedside method for temporary pacemaker implantation is as safe and effective as X-ray-guided placement but significantly reduces operation time, making it highly suitable for emergency settings in primary hospitals.
May shorten emergency pacing time at bedside; leaves open need for randomized confirmation before practice change.
The purpose of the research was to evaluate the safety and effectiveness of the X-ray-free improved simple bedside method for emergency temporary pacemaker implantation as well as the practicability of the method in primary hospitals. Patients [including those suffering from sick sinus syndrome and third-degree and advanced atrioventricular blockage (AVB)] who needed emergency temporary pacemaker implantation from July 2017 to August 2020 in Hunan Provincial People's Hospital were selected. They were stochastically divided into a research group (95 cases) treated with the improved simple bedside method and a control group (95 cases) with X-ray guidance. The ordinary bipolar electrodes were used in both groups. On this condition, the operation duration, the first-attempt success rate of electrodes, pacing threshold, success rate of the operation, the rate of electrode displacement, and complications in the two groups were separately calculated. The comparison results of the research group with the control group are shown as follows: operation time [(18 ± 5.91) min vs. (43 ± 2.99) min, P < 0.05], the first-attempt success rate of the electrode (97% vs. 98%, P > 0.05), pacing threshold [(0.97 ± 0.35) vs. (0.97 ± 0.32) V, P > 0.05], success rate of the operation (98.9% vs. 100%, P > 0.05), the rate of electrode displacement (8.4% vs. 7.3%, P > 0.05) and complications (3.2% vs. 2.1%, P > 0.05). The emergency temporary pacemaker implantation based on the improved simple bedside method is as safe and effective as the surgical method under X-ray guidance, and the operation is simpler and easier to learn and requires a shorter operating time, therefore, it is more suitable for use in emergency and primary hospitals.
No takes yet. Share an insight, caveat, or question.
Zhong et al. (2021) conducted an RCT in Severe bradyarrhythmia (n=190). Improved simple bedside method for emergency temporary pacemaker implantation vs. X-ray guidance method was evaluated on Operation time (minutes) (p=<0.05). The improved simple bedside method for emergency temporary pacemaker implantation significantly reduced operation time to 18 minutes compared to 43 minutes with X-ray guidance (P < 0.05), with similar success and complication rates.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: