Troubleshooting Transvenous Pacemakers with Point of Care Ultrasound (POCUS).

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI:10.24908/pocusj.v10i01.18073
Emily Gohde, Seth Lotterman, Ikram Irfanullah, David Hansen, Felix Pacheco, Adam Wise, Matthew Tichauer, Trent She
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引用次数: 0

Abstract

Emergent transvenous pacing can be performed for patients with an unstable bradyarrhythmia in the emergency department. While emergent transvenous pacemaker (TVP) placement is performed relatively rarely, its importance in the management of these patients requires emergency physicians to be familiar with the procedure. Point of care ultrasound (POCUS) is traditionally used for the initial vascular access associated with TVP placement but can also be indispensable in the subsequent placement and advancement of the TVP wire itself. This article discusses two cases and then outlines a general protocol that incorporates POCUS into a standard emergent TVP procedure. Further, we outline some common POCUS troubleshooting tactics to improve success and ways in which POCUS can rapidly identify complications.

用护理点超声(POCUS)诊断经静脉起搏器。
紧急经静脉起搏可用于急诊科不稳定缓性心律失常患者。虽然紧急经静脉起搏器(TVP)放置相对较少,但其在这些患者管理中的重要性要求急诊医生熟悉该程序。传统上,护理点超声(POCUS)用于与TVP放置相关的初始血管通路,但在TVP丝本身的后续放置和推进中也不可缺少。本文讨论了两种情况,然后概述了将POCUS合并到标准紧急TVP过程中的一般协议。此外,我们概述了一些常见的POCUS故障排除策略,以提高POCUS的成功率,以及POCUS快速识别并发症的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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