Predictors for use of temporary epicardial pacing wires after pediatric cardiac surgery

The Journal of Thoracic and Cardiovascular Surgery
Punkaj GuptaStephen J Roth

Abstract

The objectives of this study were (1) to determine the use of temporary epicardial pacing wires to diagnose and treat early postoperative arrhythmias in pediatric cardiac surgical patients and (2) to determine the predictive factors for the need of pacing wires for diagnostic or therapeutic purposes. We collected preoperative, intraoperative, and postoperative data in a prospective, observational format from patients undergoing pediatric cardiac surgery between August 2010 and January 2011 at a single academic children's hospital. A total of 157 patients met the inclusion criteria during the study period. Of these 157 patients, pacing wires were placed in 127 (81%). Pacing wires were used in 25 patients (19.6%) for diagnostic purposes, 26 patients (20.4%) for therapeutic purposes, 15 patients (11.8%) for both diagnostic and therapeutic purposes, and 36 patients (28.3%) for diagnostic or therapeutic purposes. Need for cardioversion in the operating room, presence of 2 or more intracardiac catheters, severely reduced ventricular ejection fraction, and elevated serum lactate level at the time of operating room discharge were found to be independent predictors for the use of pacing wires. The only complication noted in the cohort w...Continue Reading

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Citations

Feb 14, 2014·Journal of Cardiothoracic Surgery·Nizar R AlwaqfiAhmad Abu Baker
Apr 1, 2014·The Annals of Thoracic Surgery·Monika ChauhanChristopher W Mastropietro
Oct 28, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gopinath PerumalPrem Venugopal
Aug 5, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew H Smith
Apr 24, 2020·British Journal of Nursing : BJN·Niamh KielyMary Mooney

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