Practice English Speaking&Listening with: Avoiding Problems with Temporary Cardiac Pacing

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>> Barnett: A RECENT FDA ARTICLE IN THE JOURNAL Nursing2010

DESCRIBES A VARIETY OF PROBLEMS ASSOCIATED WITH

TEMPORARY PACING LEADS.

TEMPORARY PACING IS USED DURING EMERGENCY TREATMENT OF

SOME BRADYARRHYTHMIAS AND TACHYARRHYTHMIAS.

IT'S ALSO USED PROPHYLACTICALLY FOR PATIENTS AT RISK FOR

BRADYARRHYTHMIAS DURING CARDIOVASCULAR SURGERY.

>> STAFF IN ONE HOSPITAL REPORTED MANY INADVERTENT

DISCONNECTIONS WITH A NEW, REUSABLE EXTENSION CABLE THAT

WAS SUPPOSED TO CONNECT THE LEAD TO THE PACEMAKER.

THIS PROBLEM HADN'T OCCURRED WITH THE OLD CABLE.

STAFF RESORTED TO USING SURGICAL TAPE TO MAINTAIN THE CONNECTION

BETWEEN THE PACING WIRE AND THE EXTENSION CABLE,

A PRACTICE THAT'S NOT RECOMMENDED IN THE INSTRUCTIONS.

>> LEADS CAN ALSO FRACTURE.

IN ONE CASE, THE DISTAL TIP OF A TEMPORARY EPICARDIAL LEAD

BROKE OFF AND REMAINED IN THE PATIENT WHEN THE LEAD WAS

REMOVED 13 DAYS AFTER SURGERY.

THE LEAD MANUFACTURER HAD RECOMMENDED ONLY A

7-DAY IMPLANT DURATION.

>> THERE'S ALSO A RISK OF MISCONNECTION WHEN USING A

BALLOON TEMPORARY PACING CATHETER THAT HAS AN EXTRA LUMEN

FOR INFUSION, HEMODYNAMIC MONITORING, OR BLOOD SAMPLING.

IN ONE CASE, A PATIENT'S CAREGIVER ACCIDENTALLY CONNECTED

I.V. TUBING TO THE PACING CATHETER'S BALLOON INFLATION

PORT, CAUSING THE BALLOON TO BURST INSIDE THE PATIENT.

>> THE ARTICLE RECOMMENDS SEVERAL WAYS TO HELP AVOID

PROBLEMS LIKE THESE.

THEY INCLUDE VERIFYING THAT PROPER CONNECTIONS HAVE BEEN

MADE THROUGHOUT THE ENTIRE PACING SYSTEM AND KNOWING YOUR

HOSPITAL'S POLICY AND PROCEDURES FOR HANDLING DEFECTIVE DEVICES.

YOU CAN FIND THE FULL ARTICLE ON OUR WEB SITE.

The Description of Avoiding Problems with Temporary Cardiac Pacing