As a result, the increase of expenditure on the part of the patients and medical insurance providers actually restricts the popularization and application of the balloon-tipped floating catheter in the primary hospitals in developing countries. One reason is that the balloon-tipped floating catheter is more expensive than that of the ordinary bipolar electrode. However, few balloon floating electrodes are used in many primary hospitals in China. The bedside balloon-tipped floating catheter implantation is another rapid and effective first aid method 8, 9. In addition, onerous requirements such as the demand for a C-arm device and a specialized catheterization room are not conducive to application of the procedure in the emergency departments of many primary hospitals not meeting these conditions 7. On the one hand, this takes precious time when rescuing patients 4, 5, 6 on the other hand, patients and surgeons are exposed to X-rays. Although temporary pacemaker implantation with the ordinary bipolar electrode under X-ray guidance is both safe and effective, the surgery needs to be conducted under X-ray guidance. At present, there are three main clinical methods of temporary pacemaker implantation: X-ray guidance, bedside balloon-tipped floating catheter, and ordinary bipolar electrode placement methods. Similar content being viewed by othersĮmergency temporary pacemaker implantation is first aid measure for patients with severe bradyarrhythmia and cardiac arrest 1, 2, 3. The emergency temporary pacemaker implantation based on the improved simple bedside method is as safe and effective as the surgical method under X-ray guidance, and the operation is simpler and easier to learn and requires a shorter operating time, therefore, it is more suitable for use in emergency and primary hospitals. The comparison results of the research group with the control group are shown as follows: operation time, success rate of the operation (98.9% vs. On this condition, the operation duration, the first-attempt success rate of electrodes, pacing threshold, success rate of the operation, the rate of electrode displacement, and complications in the two groups were separately calculated. The ordinary bipolar electrodes were used in both groups. They were stochastically divided into a research group (95 cases) treated with the improved simple bedside method and a control group (95 cases) with X-ray guidance. Patients who needed emergency temporary pacemaker implantation from July 2017 to August 2020 in Hunan Provincial People’s Hospital were selected. The purpose of the research was to evaluate the safety and effectiveness of the X-ray-free improved simple bedside method for emergency temporary pacemaker implantation as well as the practicability of the method in primary hospitals.
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