[Temporary epicardial pacing following cardiac surgery: practical aspects]

Area of Science:

• Cardiology
• Cardiac Surgery
• Critical Care Medicine

Background:

• Temporary epicardial pacing is a critical intervention following open heart surgery.
• It addresses conduction and rhythm abnormalities, and can optimize hemodynamic function.

Purpose of the Study:

• To review the practical aspects of temporary epicardial pacing post-cardiac surgery.
• To highlight indications, pacing modes, and generator management.

Main Methods:

• Literature review of English and French articles from the last five years.
• Searches conducted in ScienceDirect and PubMed databases.
• Focus on indications, pacing modes, epicardial wires, and temporary generators.

Main Results:

• Temporary epicardial pacing effectively treats severe conduction/rhythm disorders and improves hemodynamics.
• Optimizing pacing mode and parameters is key for pacemaker function, electrode longevity, and hemodynamic benefit.
• Daily adjustment of pacing settings based on thresholds is recommended.

Conclusions:

• Temporary epicardial pacing is a simple, effective, and easily implemented method compared to transcutaneous or transvenous pacing.
• Knowledge of its practical management is essential for all healthcare professionals involved.
• A proposed best practice protocol aims to minimize risks of suboptimal functioning.