[Chinese emergency expert consensus on bedside temporary cardiac pacing (2023)].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue

Corresponding author: Han Xiaotong, Department of Emergency, Hunan Provincial People's Hospital (First Affiliated Hospital of Hunan Normal University), Changsha 410005, Hunan, China, Email: Zhu Yimin, Hunan Provincial Emergency Research Institute, Changsha 410005, Hunan, China, Email: Lyu Chuanzhu, Department of Emergency, Sichuan Academy of Medical Sciences, Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan, China, Email: Zhang Guoqiang, Department of Emergency, China-Japan Friendship Hospital, Beijing 100029, China, Email:

Published: July 2023

Temporary cardiac pacing is an essential technique in the diagnosis and treatment of arrhythmias. Due to its urgency, complexity, and uncertainty, it is necessary to develop an evidence-based emergency operation norms. Currently, there is no specific consensus guidelines at home or abroad. The Emergency Branch of Chinese Medical Association organized relevant experts to draft the Chinese emergency expert consensus on bedside temporary cardiac pacing (2023) to guide the operation and application of bedside cardiac pacing. The formulation of the consensus adopts the consensus meeting method and the evidentiary basis and recommendation grading of the Oxford Center for Evidence-based Medicine in the United States. A total of 13 recommendations were extracted from the discussion on the methods of bedside temporary cardiac pacing, the puncture site of transvenous temporary cardiac pacing, the selection of leads, the placement and placement of leads, pacemaker parameter settings, indications, complications and postoperative management. The recommended consensus includes the choice between transcutaneous and transvenous pacing, preferred venous access for temporary transvenous pacing, the target and best guidance method for implantation of bedside pacing electrodes, recommended default pacemaker settings, recommended indications for sinoatrial node dysfunction, atrioventricular block, acute myocardial infarction, cardiac arrest, ventricular and supraventricular arrhythmias. They also recommended ultrasound guidance and a shortened temporary pacing support time to reduce complications of temporary transvenous cardiac pacing, recommended bedrest, and anticoagulation after temporary transvenous pacing. Bedside temporary cardiac pacing is generally safe and effective. Accurate assessment, correct selection of the pacing mode, and timely performance of bedside temporary cardiac pacing can further improve the survival rate and prognosis of related emergency patients.

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.cn121430-20230228-00124DOI Listing

Publication Analysis

Top Keywords

cardiac pacing
36
temporary cardiac
28
bedside temporary
20
pacing
15
transvenous pacing
12
temporary transvenous
12
temporary
11
cardiac
10
emergency expert
8
expert consensus
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!