Strategies for Temporary Cardiac Pacing in Pediatric Patients With Postoperative Junctional Ectopic Tachycardia

Entenmann, Andreas; Michel, Miriam

doi:10.1053/j.jvca.2015.03.011

Cited by 7 publications

(10 citation statements)

References 17 publications

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“…AVT pacing, as described by Janoušek et al ., is an innovative and effective pacing technique in paediatric patients suffering from postoperative JET (Entenmann and Michel, ; Haas et al, ; Janoušek et al, ). However, the method is complex in its technical details, and the implementation of AVT pacing remains challenging (Entenmann et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…Management of postoperative JET is based on the administration of antiarrhythmic drugs, therapeutic cooling and temporary pacing (Haas and Camphausen, ; Janoušek et al, ; Kohli et al, ; Kovacikova et al, ; Pfammatter et al, ). R‐wave synchronized atrial pacing (AP) is a temporary pacing technique developed to restore atrioventricular synchrony without increasing the junctional heart rate of patients with postoperative JET ( Entenmann and Michel, ; Till and Rowland, ). It functions by stimulating the atria triggered by the preceding chamber complex (QRS complex).…”

Section: Introductionmentioning

confidence: 99%

“…In the currently applied technique described by Janušek et al ., AVT pacing is performed by switching the temporary pacing wires of the patient at the inputs of the temporary pacemaker (Janoušek et al, ). Thus, the pacemaker senses signals from the ventricles via the atrial channel and stimulates the atria via the ventricular channel (Entenmann and Michel, ). The interval between AP and the following sensed ventricular signal (VS) can be adjusted via the pacemaker's atrioventricular delay (AV delay).…”

Section: Introductionmentioning

confidence: 99%

“…If AP–VS intervals become too short, close or simultaneous contractions of atria and ventricles may occur, recognized as pressure peaks in the central venous pressure curve. An inordinate increase in AP–VS intervals, on the other hand, may trigger pacemaker‐induced tachycardia (Entenmann and Michel, ; Janoušek et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Standardized training for AVT pacing in paediatric patients with postoperative junctional ectopic tachycardia

Entenmann

Dittrich²,

Hessling

et al. 2018

Nursing in Critical Care

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Standardized training for AVT pacing in paediatric patients with postoperative junctional ectopic tachycardia

Entenmann

Dittrich²,

Hessling

et al. 2018

Nursing in Critical Care

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“…Therapy for postoperative JET comprises the administration of anti-arrhythmic drugs, weaning of catecholamines, deep sedation, and induced hypothermia [ 5 ]. Different techniques of cardiac pacing are used aiming either to restore atrioventricular synchrony or to reduce the junctional heart rate [ 6 ]. R-wave synchronized atrial pacing is an innovative temporary pacing technique used to reconstitute atrioventricular synchrony without altering patient heart rate.…”

Section: Introductionmentioning

confidence: 99%

A Low-Cost Simulation Model for R-Wave Synchronized Atrial Pacing in Pediatric Patients with Postoperative Junctional Ectopic Tachycardia

Entenmann

Schmiedel²,

Michel

et al. 2016

PLoS ONE

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BackgroundPostoperative junctional ectopic tachycardia (JET) occurs frequently after pediatric cardiac surgery. R-wave synchronized atrial (AVT) pacing is used to re-establish atrioventricular synchrony. AVT pacing is complex, with technical pitfalls. We sought to establish and to test a low-cost simulation model suitable for training and analysis in AVT pacing.MethodsA simulation model was developed based on a JET simulator, a simulation doll, a cardiac monitor, and a pacemaker. A computer program simulated electrocardiograms. Ten experienced pediatric cardiologists tested the model. Their performance was analyzed using a testing protocol with 10 working steps.ResultsFour testers found the simulation model realistic; 6 found it very realistic. Nine claimed that the trial had improved their skills. All testers considered the model useful in teaching AVT pacing. The simulation test identified 5 working steps in which major mistakes in performance test may impede safe and effective AVT pacing and thus permitted specific training. The components of the model (exclusive monitor and pacemaker) cost less than $50. Assembly and training-session expenses were trivial.ConclusionsA realistic, low-cost simulation model of AVT pacing is described. The model is suitable for teaching and analyzing AVT pacing technique.

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Early and Late Postoperative Tachyarrhythmias in Children and Young Adults Undergoing Congenital Heart Disease Surgery

et al. 2022

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The population of patients with congenital heart disease is constantly growing with an increasing number of individuals reaching adulthood. A significant proportion of these children and young adults will suffer from tachyarrhythmias due to the abnormal anatomy, the hemodynamic burden, or as a sequela of surgical treatment. Depending on the underlying mechanism, arrhythmias may arise in the early postoperative period (hours to days after surgery) or in the late postoperative period (usually years after surgery). A good understanding of the electrophysiological characteristics and pathophysiological mechanisms is therefore crucial to guide the therapeutic approach. Here, we synthesize the current state of knowledge on epidemiological features, risk factors, pathophysiological insights, electrophysiological features, and therapy regarding tachyarrhythmias in children and young adults undergoing reparative surgery for congenital heart disease. The evolution and latest data on treatment options, including pharmacological therapy, ablation procedures, device therapy decision, and thromboprophylaxis, are summarized. Finally, throughout this comprehensive review, knowledge gaps and areas for future research are also identified.

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Strategies for Temporary Cardiac Pacing in Pediatric Patients With Postoperative Junctional Ectopic Tachycardia

Cited by 7 publications

References 17 publications

Standardized training for AVT pacing in paediatric patients with postoperative junctional ectopic tachycardia

Standardized training for AVT pacing in paediatric patients with postoperative junctional ectopic tachycardia

A Low-Cost Simulation Model for R-Wave Synchronized Atrial Pacing in Pediatric Patients with Postoperative Junctional Ectopic Tachycardia

Early and Late Postoperative Tachyarrhythmias in Children and Young Adults Undergoing Congenital Heart Disease Surgery

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