Clinical and mechanical factors associated with the removal of temporary epicardial pacemaker wires after cardiac surgery

Journal of Cardiothoracic Surgery
Elsayed ElmistekawyFraser D Rubens

Abstract

Temporary pacemaker wires are placed in the majority of patients after cardiac surgery. There is no information on mechanical factors related to wire removal. Clinical information related to temporary wire use and removal was prospectively collected from a large cardiac surgical unit over one year. Measurements of maximal tension that nurses and doctors would apply to remove temporary wires was determined using a hand-held portable scale. In a prospective trial, patients (n = 41) had their wires extracted in series to the portable scale to determine the maximal tension required for safe removal. Ventricular wires were placed in 86.5 % of patients during the observed year. Pacing facilitated weaning from CPB in over 15 % of patients and pacer dependence was seen in 2.1 %. No patients suffered major complications after wire removal. There was no difference in the tension that physicians or nurses would apply to comfortably extract temporary wires. In the prospective trial, there was no difference in the tension required for removal of atrial or ventricular wires (atrial 18.3 ± 17.9 oz versus 14.5 ± 14.2 oz, p = 0.430). There were no patient factors that correlated with the degree of resistance and there was no significant differe...Continue Reading

References

Apr 1, 1986·Critical Care Medicine·C R Hoidal
May 1, 1971·The American Journal of the Medical Sciences·B J Baldwin, E R Dorney
Dec 29, 2004·The Annals of Thoracic Surgery·Brian T BetheaWilliam A Baumgartner
Feb 25, 2011·The International Journal of Cardiovascular Imaging·Alexander PfeilAndreas Hansch
Sep 11, 2012·Interactive Cardiovascular and Thoracic Surgery·Kasra ShaikhrezaiSai Prasad
Feb 14, 2014·Journal of Cardiothoracic Surgery·Nizar R AlwaqfiAhmad Abu Baker
Sep 1, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kosuke MukaiharaYutaka Imoto

❮ Previous
Next ❯

Citations

Feb 14, 2014·Journal of Cardiothoracic Surgery·Nizar R AlwaqfiAhmad Abu Baker
Feb 24, 2009·The Annals of Thoracic Surgery·Jae Gun KwakEun Jung Bae
Apr 24, 2020·British Journal of Nursing : BJN·Niamh KielyMary Mooney
Feb 20, 2019·Asian Cardiovascular & Thoracic Annals·Elsayed Elmistekawy
Dec 15, 2020·AACN Advanced Critical Care·Ashleigh G VanBlarcomJesus Casida
Mar 16, 2021·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Constantin GattererDietrich Beitzke
Jul 1, 2021·British Journal of Hospital Medicine·Jeevan FrancisKeith Buchan

❮ Previous
Next ❯

Software Mentioned

Stata®

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

© 2022 Meta ULC. All rights reserved