Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse

Abstract

Abstract: Objective To investigate the feasibility and merits of emergency bedside temporary cardiac pacing through left subclavicular vein guided by pacemaker impulse.Methods The left subclavicular vein was punctured with Seldinger technique for insertion of a cannula. After setting the rate of pacemaker at 20 beat/min above the patients’ spontaneous heart rate with output current of 5 mA and sensing voltage of 3 mV, the electrode was inserted through the cannula until the electrocardiograph displaying pulsed signal and pacing rhythm.Results Good pacing was achieved in 18 patients with one having poor pacing, which was improved 2 h later. The pacing was not satisfactory in two cases. No postoperative complications occurred in the 21 patients.Conclusion Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse is rapid and ensures high success rate and safety.

CLC Number:

R711.750.5

MA Ming-yuan, YU Tie-ou, FANG Bin, WEN Wei-biao, MAO Ke-jiang. Emergency bedside temporary cardiac pacing through the left subclavicular vein guided by pacemaker impulse[J]. Journal of Southern Medical University, 2005, 25(05): 587-588.

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