CARDIAC DEVICES IMPLANTATION AUDIT Medical Presentation

Cardiac Devices Implantation Audit PowerPoint Presentation

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Published on : Oct 21, 2019 | Views : 2108 | Downloads : 7

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Cardiac Devices IMPLANTATION Audit Tgh 2018 Rehman RANA-SPR AAMIR AYUB-CONSULTANT CARDIOLOGIST
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Objectives To quantify the number of pacemaker insertions, generator change and Linq device implantations performed during 2018. To assess local complication rates and compare them with previous years and national rates. To Identify areas for future improvement
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methodology Number of procedures performed between 1/1/2018 and 31/12/2018 obtained from pacemaker logbook and crosschecked with electronic database. Demographics of the operator, indications for the procedure. Complications identified from procedural logbook and NICOR. Data obtained and incorporated into a data collection tool and analyzed Data from 2018 compared with results of previous audits from 2015, 2016 and 2017
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CARDIAC DEVICES IMPLANTED AT Tgh 1. PERMANENT PACEMAKERS • Single chamber • Dual chamber 2. GENERATOR CHANGE 3. TEMPORARY PACING WIRES 4. LINQ DEVICE
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Single Chamber pacemaker • Cheaper • Quicker to implant • AV synchrony may not be maintained • Mainly indicated in patients with AF
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Dual chamber pacemaker • More physiologically accurate • Maintains AV synchrony • Less risk of PPM syndrome • More time consuming to implant • Expensive
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Implantable loop recorder Used to monitor heart rate and rhythm Patients who experience syncope, presyncope. Patients at increased risk of arrhythmia
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Pacemaker/ILR insertion indication
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CARDIAC DEVICES IMPLANTATION 2018
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GENDER
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devices by operators
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Procedure trends
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COMPLICATIONS
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outcome Yearly increase in the number of implanted cardiac devices Persistent low complications rate over the years Very low infection rate due to peri and post-operative use of appropriate antibiotics(Teicoplanin and intra-pocket Gentamicin)
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Areas of future developement Allocated pacing suites/theatres Requirement of adequate and more trained staff Continuity of the audit process to look for further improvement in the quality of care and service provision
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Thanks to procedure team Consultants( Abraheem, Puri, Ayub and khan) Nikki Ralph John Harrop Shaun Frank Steve
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