Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals

Abstract 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 synd...

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Autores principales: Changqing Zhong, Shanjun Mao, Jieli Guang, Yi Zhang
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:06d0e40a2ac34d84bc93b689b216c7472021-12-02T16:45:41ZApplication of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals10.1038/s41598-021-96338-z2045-2322https://doaj.org/article/06d0e40a2ac34d84bc93b689b216c7472021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96338-zhttps://doaj.org/toc/2045-2322Abstract 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.Changqing ZhongShanjun MaoJieli GuangYi ZhangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Changqing Zhong
Shanjun Mao
Jieli Guang
Yi Zhang
Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
description Abstract 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.
format article
author Changqing Zhong
Shanjun Mao
Jieli Guang
Yi Zhang
author_facet Changqing Zhong
Shanjun Mao
Jieli Guang
Yi Zhang
author_sort Changqing Zhong
title Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
title_short Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
title_full Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
title_fullStr Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
title_full_unstemmed Application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
title_sort application of the improved simple bedside method for emergency temporary pacemaker implantation suitable for primary hospitals
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/06d0e40a2ac34d84bc93b689b216c747
work_keys_str_mv AT changqingzhong applicationoftheimprovedsimplebedsidemethodforemergencytemporarypacemakerimplantationsuitableforprimaryhospitals
AT shanjunmao applicationoftheimprovedsimplebedsidemethodforemergencytemporarypacemakerimplantationsuitableforprimaryhospitals
AT jieliguang applicationoftheimprovedsimplebedsidemethodforemergencytemporarypacemakerimplantationsuitableforprimaryhospitals
AT yizhang applicationoftheimprovedsimplebedsidemethodforemergencytemporarypacemakerimplantationsuitableforprimaryhospitals
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