Use of the gastro-oesophageal route for the rapid establishment of ventricular pacing.
A novel approach to emergency ventricular pacing has been developed using a gastro-esophageal electrode. The polythene electrode was passed into the stomach, after which the electrode tip was positioned in the gastric fundus. Ventricular pacing was performed using a cathode mounted on the electrode tip; the indifferent electrode (anode) was either a chest pad or a proximal ring electrode. Ventricular capture was easily achieved in three emergency cases of severe bradyarrhythmia.
McEneaney
D J
DJ
Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, UK.
Cochrane
D J
DJ
Adgey
A A
AA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001919:Bradycardia / Q000628:therapy*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004562:Electrocardiography; D004566:Electrodes; D004630:Emergencies; D004947:Esophagus; D005260:Female; D005748:Gastric Fundus; D006801:Humans; D007223:Infant; D008297:Male; D012151:Resuscitation / Q000379:methods; D013997:Time Factors