Application effect of transoral catheterization in pediatric esophageal pacing by using children's breath-holding intermittent interval after crying
Objective To investigate the application effect of transoral catheterization in pediatric esophageal pacing by using children's breath-holding intermittent interval after crying, so as to improve the success rate of electrode catheterization in pediatric esophageal pacing, shorten the examination time, and reduce their pain and complications in children. Methods A total of 60 children aged 0-12 years were selected as research objects. They were divided into observation group and control group with 30 cases in each group by random sampling. Without any technique, in the control group the esophageal electrode was inserted through the nasal cavity, and the depth of the transnasal esophageal electrode was the distance of the nasal tip-earlobe-xiphoid with 5 cm subtracted. In the observation group, by using a transient breath-holding interval after children's cry, esophageal electrode was quickly inserted through the oral cavity, and its depth was the distance from the hairline to the xiphoid with 5 cm subtracted. The first-attempt success rate, the incidence of complications, and the time for placing esophageal electrode in the two methods were compared. Results The first-attempt success rate of catheterization in the observation group was 100％, higher than the rate of 86.67％ in the control group (x2=4.286, P=0.038) . The total incidence of complications in the observation group was 3.33％, which was lower than the incidence of 23.33％ in the control group (x2=33.611, P<0.01). The time of catheterization in the observation group was lower than that in the control group [(74.15±12.35) s vs.(152.34±15.24)s;t=7.494, P<0.01] . Conclusion Taking advantage of the short breath-holding intermittent interval after children's crying, rapid insertion of esophageal electrodes through the oral cavity could improve the first-attempt success rate of catheterization in pediatric esophageal pacing. It could significantly reduce the incidence of complications, and shorten the time for catheterization procedure, which is worthy of being promoted in clinical practice.
pediatric esophageal pacingtransoral catheterizationsuccess rate of catheterizationbreath-holding intermittent interval
万方数据
维普
