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Noninvasive temporary pacing: experience in a community hospital
1Overlook Hospital, Department of Nursing, Summit, NJ 07901.
Heart & Lung : the Journal of Critical Care
|January 1, 1989
Summary
Noninvasive temporary pacemakers are safe and effective for cardiac pacing. While generally well-tolerated, patient discomfort can limit their use in some cases.
Area of Science:
- Cardiology
- Medical Devices
Background:
- Temporary pacemakers are crucial for managing bradyarrhythmias.
- Noninvasive temporary pacing offers a less invasive alternative to transvenous methods.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of noninvasive temporary pacemaker therapy.
- To assess the safety and patient tolerance of this pacing method.
Main Methods:
- A 1-year prospective study of 37 patients treated with noninvasive temporary pacemakers.
- Data collection included pacing parameters, application settings, and patient outcomes.
- Nurse application and patient discomfort were specifically noted.
Main Results:
- Successful capture was achieved in 91% of patients.
- The device was frequently used in emergency and coronary care settings.
- A 32% decrease in transvenous pacemaker insertions was observed post-introduction.
- Seven patients (19%) died, and 8/20 responsive patients experienced severe discomfort.
Conclusions:
- Noninvasive temporary pacemakers are a safe and effective therapeutic option.
- Patient discomfort is a significant factor that may limit the application of this device.
- The use of noninvasive temporary pacemakers may reduce the need for transvenous pacing.