Description
Compared with only a few years ago there are now fewer indications for the insertion of temporary pacing wires but it remains a necessary skill for the physician. They are often required urgently and in stressful conditions and require proficient cannulation of a major vein. A temporary percutaneous pacing electrode can certainly be life saving and maintain cardiac output during episodes of extreme bradycardia, heart block and asystole. However, the procedure is not without complications such as dysrrhythmias, pneumothorax, repositioning, cardiac perforation and septicaemia and in inexperienced hands the complication rate may be significant as may be the need for reporitioning. We aim to provide a practical guide to junior doctors for the insertion of temporary pacing wires.
