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conferenceseries
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Volume 05
Neonatal and Pediatric Medicine
ISSN: 2572-4983
World Pediatrics 2019
December 04-05, 2019
December 04-05, 2019 | Barcelona, Spain
32
nd
World Pediatrics Conference
A quality improvment project on a guide to atrial ECG
Atika Iqbal
Glenfield Hospital, UK
T
he American Heart Association practice standards for electrocardiographic monitoring in hospitals recommend to
record an atrial electrogram whenever tachycardia of unknown origin develops in a patient after cardiac surgery.
Most of the rotational junior doctors have general pediatric ckground and their experience in post operative cardiac
patients care is minimal. This project was carried out at Glenfeld Hospital Leicester UK to promote awareness of junior
doctors about safe and effective use of atrial ECG and also to build up a quick resource to perform atrial ECG especially in
emergency conditions. A questionnaire was constructed to survey current awareness of doctors about atrial ECG. Also the
participants understanding of existing trust guideline and the need of having a quick resource on method of performing
atrial ECG was established. The survey included trainee doctors, Senior House Officers and Registrar, working in ICU
and Cardiology ward and also Advanced Nurse Practitioners, Atrial epicardial pacing wires are commonly available in
post-operative cardiac patients in ICU. However not all rotational doctors are aware of atrial ECG and some of them have
no experience of doing atrial ECG. All doctors showed interest in learning the skill to perform atrial ECG. The Flow chart
illustrating steps of doing atrial ECGwere constructed andmade available in ICU and Cradiology ward. Recommendation
put forward to conduct teaching sessions on atrial ECG in induction programme for new rotational trainees. Flow charts
were included in updated trust guidelines.
Neonat Pediatr Med 2019, Volume: 05