Transthoracic pacing in cardiac asystole |
| |
Authors: | J.Douglas White MD |
| |
Affiliation: | 1. Emergency Ward, Massachusetts General Hospital, Boston, Massachusetts, USA.;2. the Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA. |
| |
Abstract: | A total of 139 patients had transthoracic pacemakers introduced via a subxiphoid approach for asystole during advanced CPR in the emergency department of a large urban teaching hospital over a calendar year. Two groups were examined retrospectively, A) 34 patients who presented asystolic, and B) 99 patients who presented with ventricular fibrillation that became asystole. Age, sex, and etiologies for cardiac arrest were similar in both groups; there were no survivors. The mean duration of asystole before pacemaker insertion was 4 min (group A) to 7 min (group B). Temporary electrical capture was obtained in six patients from group B, but electrical-mechanical association could not be achieved in any of these patients. |
| |
Keywords: | Asystole cardiac arrest cardiac pacing pacemaker transthoracic |
本文献已被 ScienceDirect 等数据库收录! |
|