OUT-OF-HOSPITAL USE OF TRANSCUTANEOUS CARDIAC PACING

Autori:

DAVOR PODBEVŠEK, SEBASTIJAN FABRIS, JOSIP PODBEVŠEK, IVO PRIZMIĆ

Sažetak
Transkutana elektrostimulacija srca (TES) neinvazivna je metoda za terapiju teških bradikardija i srčane asistolije. To je metoda koja zbog svoje jednostavnosti ne zahtijeva dugotrajnu edukaciju. Može se primijeniti brzo, pri čemu su izbjegnuti svi rizici vezani za kanulaciju centralnoga venskog puta. Zbog navedenih prednosti TES je u svijetu postala metoda izbora za urgentnu, privremenu elektrostimulaciju srca. To se posebno odnosi na uporabu TES u udaljenim izvanbolničkim centrima. U radu smo prikazali dva slučaja uspješne elektrostimulacije srca kod bolesnika s bradikardijama opasnim za život u uvjetima zdravstvene zaštite na otoku. Zaključili smo da bi uređaj za TES trebao postati dio standardne reanimacijske opreme u svim našim centrima koji se bave djelatnošću hitne medicine.
Summary

Summary. Transcutaneous cardiac pacing is a non-invasive method for the treatment of serious bradycardias and asystolic cardiac arrest. Due to its simplicity this method does not require a long-lasting education. It can be quickly applied avoiding all the risks connected with the central venous cannulation. Taking into consideration the above mentioned advantages, transcuta- neous cardiac pacing has become a well-known method of choice for an emergency temporary cardiac pacing. This refers especially to the use of transcutaneous cardiac pacing in out-of-hospital medical centers. This work shows two cases of suc- cessful cardiac pacing in the patients with life threatening bradycardias under the conditions of medicine on the island. The conclusion is that the equipment for transcutaneous cardiac pacing should become a part of the standard resuscitation equip- ment in all our centers that are involved in the activities of emergency medicine.

Volumen: 11-12, 2004

Liječ Vjesn 2004;126:298–301

DAVOR PODBEVŠEK, IVO PRIZMIĆ, JOSIP PODBEVŠEK, SEBASTIJAN FABRIS

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