MB: 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.
AR: 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.
MB: 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.
AR: 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 IV tubing to the pacing catheter's balloon inflation port, causing the balloon to burst inside the patient.
MB: 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 website.

标题
Temporary Cardiac Pacing Problems (FDA)

视频介绍
FDA Patient Safety News - June, 2010 - Show #99
A recent FDA article in the journal Nursing2010 describes a variety of problems associated with temporary pacing leads.

Speaker #1: Mark Barnett (MB), Assistant Director, Education & Communication, U.S. Food and Drug Administration

Speaker #2: Anita Rayner (AR), Associate Director, Policy & Communications, U.S. Food and Drug Administration