Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique
Abstract Temporary transvenous pacing is a crucial procedure in emergency and critical care medicine. While fluoroscopy guidance is considered the gold-standard to place the temporary pacing electrode catheter (EC), its use is usually limited by equipment availability and time. By contrast, ultrasou...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-04-01
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| Series: | The Ultrasound Journal |
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| Online Access: | http://link.springer.com/article/10.1186/s13089-019-0122-y |
| _version_ | 1818847594622746624 |
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| author | Pablo Blanco |
| author_facet | Pablo Blanco |
| author_sort | Pablo Blanco |
| collection | DOAJ |
| description | Abstract Temporary transvenous pacing is a crucial procedure in emergency and critical care medicine. While fluoroscopy guidance is considered the gold-standard to place the temporary pacing electrode catheter (EC), its use is usually limited by equipment availability and time. By contrast, ultrasound (US) guidance is a useful alternative, since it is widely available at the bedside, does not emit ionizing radiation and provides optimal times to active pacing with fewer complications. However, many times, in spite of visualizing the EC in the right ventricle using US, the pacing capture and sensing are not optimal, and thus, having an easily applicable method for best assessing this issue is desirable, especially if it could be combined with US without difficulties. With the purpose of illustrating the points made previously, the combined US-intracavitary electrocardiography technique is described in detail in this paper. |
| first_indexed | 2024-12-19T06:03:56Z |
| format | Article |
| id | doaj.art-7195ab184d6143d98703b082f0d50f92 |
| institution | Directory Open Access Journal |
| issn | 2524-8987 |
| language | English |
| last_indexed | 2024-12-19T06:03:56Z |
| publishDate | 2019-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Ultrasound Journal |
| spelling | doaj.art-7195ab184d6143d98703b082f0d50f922022-12-21T20:33:13ZengSpringerOpenThe Ultrasound Journal2524-89872019-04-011111710.1186/s13089-019-0122-yTemporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe techniquePablo Blanco0Intensive Care Physician, Intensive Care Unit, Clínica Cruz AzulAbstract Temporary transvenous pacing is a crucial procedure in emergency and critical care medicine. While fluoroscopy guidance is considered the gold-standard to place the temporary pacing electrode catheter (EC), its use is usually limited by equipment availability and time. By contrast, ultrasound (US) guidance is a useful alternative, since it is widely available at the bedside, does not emit ionizing radiation and provides optimal times to active pacing with fewer complications. However, many times, in spite of visualizing the EC in the right ventricle using US, the pacing capture and sensing are not optimal, and thus, having an easily applicable method for best assessing this issue is desirable, especially if it could be combined with US without difficulties. With the purpose of illustrating the points made previously, the combined US-intracavitary electrocardiography technique is described in detail in this paper.http://link.springer.com/article/10.1186/s13089-019-0122-yTransthoracic echocardiographyCardiac pacingUltrasonographyElectrocardiographyPoint-of-care |
| spellingShingle | Pablo Blanco Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique The Ultrasound Journal Transthoracic echocardiography Cardiac pacing Ultrasonography Electrocardiography Point-of-care |
| title | Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique |
| title_full | Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique |
| title_fullStr | Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique |
| title_full_unstemmed | Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique |
| title_short | Temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography: a feasible and safe technique |
| title_sort | temporary transvenous pacing guided by the combined use of ultrasound and intracavitary electrocardiography a feasible and safe technique |
| topic | Transthoracic echocardiography Cardiac pacing Ultrasonography Electrocardiography Point-of-care |
| url | http://link.springer.com/article/10.1186/s13089-019-0122-y |
| work_keys_str_mv | AT pabloblanco temporarytransvenouspacingguidedbythecombineduseofultrasoundandintracavitaryelectrocardiographyafeasibleandsafetechnique |