Temporary epicardial pacing after cardiac surgery: a practical review

@article{Reade2007TemporaryEP,
  title={Temporary epicardial pacing after cardiac surgery: a practical review},
  author={MC Reade},
  journal={Anaesthesia},
  year={2007},
  volume={62}
}
  • M. Reade
  • Published 1 April 2007
  • Medicine
  • Anaesthesia
The first part of this two‐part review discussed the indications for various types of epicardial pacing systems and an overview of the routine care of a pacemaker‐dependent patient. Dual chamber temporary pulse generators now feature many of the refinements developed initially for use in permanent pacemakers. Few of these are utilised in the immediate postoperative period, often solely due to lack of familiarity with all but basic functions. The second part of the review deals with the… 

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References

SHOWING 1-10 OF 34 REFERENCES

Cardiac Rhythm Management Devices (Part II): Perioperative Management

Specific device malfunction, electromagnetic and mechanical interference, and management for patients with a device or undergoing system implantation or revision are discussed.

Temporary pacemakers in critically ill patients: assessment and management strategies.

The various indications and contraindications to temporary cardiac pacing therapy are discussed, the different modalities of temporary pacemakers are reviewed, and critical considerations in the management of patients being treated with a temporary pacemaker are outlined.

Temporary Epicardial Pacing after Open Heart Surgery: Complications and Prevention

Clinical complications due to failure of ventricular sensing, failure of Ventricular capture, bleeding from right ventricular laceration with tamponade, avulsion of a side branch from a saphenous vein coronary bypass graft, and perforation of the superior epigastric artery are described.

Optimal Location for Temporary Epicardial Pacing Leads Following Open Heart Surgery

The authors advocate the diaphragmatic wall of the LV as the best location for placing temporary leads for pacing purposes, and the anterior Wall of the RV is not recommended for pacing reasons.

Is routine use of temporary epicardial pacing wires necessary after either OPCAB or conventional CABG/CPB?

Need for pacing immediately prior to chest closure accurately and safely identifies coronary patients who will require postoperative pacing after OPCAB or CABG/ CPB, and Routine use of PWs is unnecessary.

Natural History and Predictors of Temporary Epicardial Pacemaker Wire Function in Patients after Open Heart Surgery

Although both atrial and ventricular temporary epicardial leads are reliable for short-term use, their function deteriorates on a daily basis.

Reliability of different temporary myocardial pacing leads.

Bipolar pacing leads (Osypka TME 64a/66a) proved to be more reliable than unipolar wires (Ethicon HD 12S, Osypkas TME 60/60a), particularly in atrial sensing, and the Medtronic 6400/6500 showed good reliability for the ventricle, so that they can be recommended for VVI-mode pacing.

Optimizing temporary perioperative cardiac pacing.

  • H. Spotnitz
  • Medicine
    The Journal of thoracic and cardiovascular surgery
  • 2005