Study on the clinical efficacy and methodology of bedside temporary cardiac pacing in 256 cases
Objective To explore the efficacy and methodology of bedside temporary cardiac pacing.Methods The relevant information of 256 patients receiving temporary bedside cardiac pacing in Qujing Municipal First People's Hospital from January 2020 to May 2023 was continuously collected,and the treatment effects,related costs,outcomes,complications and technical details were analyzed.Results The success rate of temporary bedside pacing in 256 patients was 99.6％,while in one patient,the bedside procedure was unsuccessful,and pacing was performed under the guidance of catheter room fluoroscopy.The average time from successful venous puncture to ventricular pacing was 7.9±4.8 minutes.The average total treatment cost of 256 patients with bedside temporary cardiac pacing was 39246±5100 yuan,and the average cost related to temporary pacing was 2710±320 yuan,accounting for 6.9％of the total cost.Among the 118 patients who underwent permanent pacing,25(21.2％)were covered by resident medical insurance/new rural cooperative medical insurance,and 93(78.8％)were covered by employee medical insurance;Among the 20 patients who refused permanent pacing,13(65.0％)were covered by resident medical insurance/new rural cooperative medical insurance,and 7(35.0％)were covered by employee medical insurance.There was no significant difference in the incidence of perceived failure between 157 cases of right ventricular apex pacing and 99 cases of right ventricular outflow tract pacing(10.8％VS 11.1％,P＞0.05).Conclusions It is effective,safe,simple,rapid and economical to train an efficient and agile emergency team and implement temporary bedside cardiac pacing by subclavian vein puncture with floating electrode under the guidance of body surface electrocardiogram,which should be the most basic routine method for rescuing fatal chronic arrhythmias in primary hospitals.
万方数据
维普
