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Checklist pacemaker

Sean L Berry, Kevin P Tierney, Sharif Elguindi, James G Mechalakos
INTRODUCTION: An electronic checklist has been designed with the intention of reducing errors while minimizing user effort in completing the checklist. We analyze the clinical use and evolution of the checklist over the past 5 years and review data in an incident learning system (ILS) to investigate whether it has contributed to an improvement in patient safety. METHODS AND MATERIALS: The checklist is written as a standalone HTML application using VBScript. User selection of pertinent demographic details limits the display of checklist items only to those necessary for the particular clinical scenario...
December 24, 2017: Practical Radiation Oncology
Philippe J van Rosendael, Victoria Delgado, Jeroen J Bax
Aims: The incidence of new-onset conduction abnormalities requiring permanent pacemaker implantation (PPI) after transcatheter aortic valve implantation (TAVI) with new-generation prostheses remains debated. This systematic review analyses the incidence of PPI after TAVI with new-generation devices and evaluates the electrical, anatomical, and procedural factors associated with PPI. In addition, the incidence of PPI after TAVI with early generation prostheses was reviewed for comparison...
February 6, 2018: European Heart Journal
Jeremy B Branzetti, Adeyinka A Adedipe, Matthew J Gittinger, Elizabeth D Rosenman, Sarah Brolliar, Anne K Chipman, James A Grand, Rosemarie Fernandez
BACKGROUND: A subset of high-risk procedures present significant safety threats due to their (1) infrequent occurrence, (2) execution under time constraints and (3) immediate necessity for patient survival. A Just-in-Time (JIT) intervention could provide real-time bedside guidance to improve high-risk procedural performance and address procedural deficits associated with skill decay. OBJECTIVE: To evaluate the impact of a novel JIT intervention on transvenous pacemaker (TVP) placement during a simulated patient event...
November 2017: BMJ Quality & Safety
Thomas Kiss, Alisa Bölke, Peter M Spieth
Transportation of a patient between medical facilities without interruption of the medical treatment can be a challenging task. This review aims to define the term "interhospital transport" and give a general overview of the steps for organizing a transfer. Furthermore we discuss the team qualification, equipment standards and how to manage adverse events before and during transport by means of patient triage. The advanced interhospital transport of the critically ill patient can be defined as follows: "transportation of a patient between medical facilities without interruption of the medical treatment and monitoring due to the underlying disease by means of specific medical, technical equipment and knowledge with the objective of improved patient care"...
June 12, 2017: Minerva Anestesiologica
Vijaya Bharat, Vivek Hittinahalli, Meenakshi Mishra, Sridhar Pradhan
BACKGROUND: An outbreak of surgical site infection (SSI) due to environmental mycobacteria (EMB) occurred in a hospital in Eastern India. METHOD: A quality improvement project (QIP) was undertaken to analyze the causes and prevent further outbreak. Step (1) Proof of the need: Four patients who had undergone pacemaker implantation consecutively during a 10-day period developed SSI. Step (2) Diagnostic journey: Since all patients developed SSI within 2 months of implantation, a common source of infection was likely...
January 2016: Indian Heart Journal
Simon Kochhäuser, Jacqueline Joza, Vidal Essebag, Riccardo Proietti, Jodi Koehler, Bernice Tsang, Zaev Wulffhart, Alfredo Pantano, Yaariv Khaykin, Paul D Ziegler, Atul Verma
BACKGROUND: Little is known about the relationship between daily atrial fibrillation (AF) burden and quality of life (QOL). We sought to determine the influence of atrial tachycardia (AT) or AF burden on measures of QOL and symptoms. METHODS AND RESULTS: We retrospectively analyzed patients with dual-chamber pacemakers from the Atrial Septal Pacing Efficacy Clinical Trial (ASPECT), Atrial Therapy Efficacy and Safety Trial (ATTEST), and aTRial arrhythmias dEtected by implaNted Device diagnostics Study (TRENDS) trials...
February 2016: Pacing and Clinical Electrophysiology: PACE
M A M Stofmeel, N M van Hemel, J C Kelder, R Yee, R E Labonté, M Taborsky, D E Grobbee
AIMS: It is uncertain whether patient perception of atrial fibrillation (AF) is based on the fast ventricular rate as such or the irregularity of the ventricular responses. This trial was designed to confirm the effectiveness of a ventricular rate stabilisation (VRS) algorithm in reducing ventricular irregularity during permanent pacing in patients with AF and to assess the patient preference and effect on quality of life (QoL). METHODS: In this multicentre single-blind randomised crossover trial, 184 patients with drug-refractory permanent (n=91) or paroxysmal (n=93) AF received a VVI(R) or DDD(R) pacemaker respectively and were paced in a randomised sequence with VRS on or off for two months...
March 2006: Netherlands Heart Journal
M St-Onge, P-A Dubé, S Gosselin, C Guimont, J Godwin, P M Archambault, J-M Chauny, A J Frenette, M Darveau, N Le Sage, J Poitras, J Provencher, D N Juurlink, R Blais
CONTEXT: Calcium channel blocker poisoning is a common and sometimes life-threatening ingestion. OBJECTIVE: To evaluate the reported effects of treatments for calcium channel blocker poisoning. The primary outcomes of interest were mortality and hemodynamic parameters. The secondary outcomes included length of stay in hospital, length of stay in intensive care unit, duration of vasopressor use, functional outcomes, and serum calcium channel blocker concentrations...
November 2014: Clinical Toxicology
Bobby Yanagawa, Sari D Holmes, Linda Henry, Sharon Hunt, Niv Ad
BACKGROUND: The Cox-Maze procedure (CM) for atrial fibrillation (AF) is associated with a high rate of sinus restoration. This study assessed the safety and efficacy of concomitant CM using an argon-based cryosurgical platform only. METHODS: Data were collected prospectively for 250 consecutive patients undergoing concomitant cryosurgical CM. We examined baseline characteristics, perioperative and postoperative outcomes, health-related quality of life (Medical Outcomes Trust SF-12 Health Survey and AF Symptom Checklist) and Kaplan-Meier survival analysis...
May 2013: Annals of Thoracic Surgery
Martin P Eason, Jake L Drumm
No abstract text is available yet for this article.
June 2011: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Rahul Mehra, Paul Ziegler, Jodi Koehler
Implantable devices can store significant information about physiologic parameters relating to rhythm and rate control. The primary objective of our analysis was to evaluate the relationship between changes in these parameters and changes in clinical outcomes in patients with atrial tachyarrhythmias (AT). Because the present guidelines do not provide quantitative definition of rhythm and rate control, we used the percent of time in AT and frequency of such episodes as measures of rhythm control. Rate control was measured as the percent of time spent at a ventricular rate >120 beats/min, as well as the median ventricular rate during AT...
July 2004: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Helmut Pürerfellner, Josef Aichinger, Martin Martinek, Hans Joachim Nesser, Paul Ziegler, Jodi Koehler, Eduardo Warman, Douglas Hettrick
Long-term efficacy of pulmonary vein (PV) ostial isolation for paroxysmal atrial fibrillation is difficult to assess. We evaluated the net duration of atrial tachyarrhythmia episodes (burden), atrial tachyarrhythmia episode frequency, and quality-of-life (QOL) before and after PV isolation in patients with an existing pacemaker featuring extensive diagnostic capabilities. Due to frequent recurrences of paroxysmal atrial fibrillation, PV isolation was performed 21 +/- 10 months following pacemaker implantation on 12 patients (57 +/- 5 years) with normal left ventricular function...
September 2004: Pacing and Clinical Electrophysiology: PACE
E H M van Rijen, E M W J Utens, J W Roos-Hesselink, F J Meijboom, R T van Domburg, J R T C Roelandt, A J J C Bogers, F C Verhulst
AIMS: To test the predictive value of medical variables, covering the complete medical course from birth until the present, for long-term behavioural and emotional problems in adulthood, in patients operated for congenital heart disease in childhood. METHODS AND RESULTS: This study concerns the second psychological and medical follow-up of a cohort of patients operated for congenital heart disease (n=362; age 20-46 years). Behavioural and emotional problems were assessed with the Young Adult Self-Report and the Young Adult Behavior Checklist...
September 2004: European Heart Journal
J Dretzke, W D Toff, G Y H Lip, J Raftery, A Fry-Smith, R Taylor
BACKGROUND: Dual chamber pacing or single chamber atrial pacing ('physiologic' pacing) is believed to have an advantage over single chamber ventricular pacing in that it resembles cardiac physiology more closely by maintaining atrioventricular (AV) synchrony and dominance of the sinus node, which in turn may reduce cardiovascular morbidity and mortality thus contributing to patient survival and quality of life. However, a significant proportion of pacemakers currently implanted are single chamber ventricular pacemakers...
2004: Cochrane Database of Systematic Reviews
Yoshihide Takahashi, Iesaka Yoshito, Atsushi Takahashi, Tomoo Harada, Takeshi Mitsuhashi, Kinya Shirota, Koichiro Kumagai, Norihito Nuruki, Takayoshi Shiraishi, Junichi Nitta, Hiroshi Ito
In drug refractory and highly symptomatic atrial fibrillation (AF) patients, hemodynamic effects of AV node ablation and pacing therapy (APT) were evaluated. Thirty-eight patients with drug refractory and symptomatic AF, underwent APT in eight centers in Japan. The outcome of this therapy was assessed in terms of quality-of-life, cardiac performance measured by echocardiogram, and plasma ANP and BNP levels before and after APT. Quality-of-life assessed by self-administered semi-quantitative questionnaires: WHO QOL 26 (3...
May 2003: Pacing and Clinical Electrophysiology: PACE
Henry W Gray
Deep vein thrombosis (DVT) and pulmonary embolism (PE) are separate but related aspects of the same dynamic disease process known as venous thromboembolism (VTE). Recent community studies have shown that VTE is a major health issue for the developed world, with at least 201,000 new cases each year in the United States, comprising 107,000 with DVT and 94,000 with PE. A quarter of PE cases die within 7 days, some so rapidly that treatment or intervention is impossible. Despite the availability of heparin prophylaxis, the annual incidence of VTE has remained constant at 1 event per 1,000 person-years since 1979 but reaches 1 event per 100 person-years for the over-85-year-olds...
July 2002: Seminars in Nuclear Medicine
C P Lau, H F Tse, C M Yu, W S Teo, R Kam, K S Ng, S S Huang, J L Lin, S M Fitts, D A Hettrick, M R Hill et al.
Atrial pacing has been shown to delay the onset of atrial fibrillation (AF) when compared with ventricular pacing in patients with sick sinus syndrome. The role for pacing in the control of AF in patients without bradycardia is uncertain. We performed a randomized, crossover, single-blinded study in 22 patients (14 women, aged 63 +/- 10 years) with paroxysmal AF refractory to treatment with oral sotalol (202 +/- 68 mg/day) and no bradycardic indication for pacing. All patients received a dual-chamber pacemaker with 2 atrial pacing leads positioned at the high right atrium and coronary sinus ostium, respectively...
August 15, 2001: American Journal of Cardiology
H J Marshall, G N Kay, M Hess, V J Plumb, R S Bubien, J Hummel, D Dawson, T Markewitz, M D Gammage
AIMS: Various mode-switching algorithms are available with different tachyarrhythmia detection criteria to be satisfied to initiate mode-switching. This study evaluated three different mode-switching algorithms in patients with paroxysmal atrial fibrillation. METHODS AND RESULTS: Seventeen patients completed the study. Three mode-switching algorithms were downloaded as software into the pacemaker, each for 1 month in a single-blind, randomized sequence. The criteria to initiate mode-switching were: mean atrial rate ('standard'), '4-of-7' or '1-of-1' atrial intervals to exceed the atrial detection rate...
January 1999: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
G N Kay, K A Ellenbogen, M Giudici, M M Redfield, L S Jenkins, M Mianulli, B Wilkoff
BACKGROUND: The Ablate and Pace Trial (APT) prospectively assessed the effects of catheter ablation of the AV conduction system and permanent pacemaker implantation on health-related quality of life, survival, exercise capacity, and ventricular function in 156 patients with symptomatic atrial fibrillation. METHODS: All patients referred for catheter ablation and permanent pacemaker implantation because of medically-refractory atrial fibrillation at 16 centers were screened for enrollment in a prospective registry...
June 1998: Journal of Interventional Cardiac Electrophysiology: An International Journal of Arrhythmias and Pacing
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No abstract text is available yet for this article.
May 1993: Health Devices
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