1.Introduction
PaediatricIntensiveCareUnit
AtrialECGUHLPaediatricIntensiveCareGuideline
Staffrelevantto:StaffworkingwithinUHLPICU
Approvaldate:February2023
Version:4
Revisiondue:February2026
Writtenby:AOsman,SRobinsonADuke
Reviewedby:AtikaIqbal
TrustRef:C60/2016
Contents
1.Introduction1
1.Introduction1
2.Indications2
3.Methods2
4.Safety2
5.ExampleECGs2
AGUIDETOATRIALECG(WARD1)3
AGUIDETOATRIALECG(PICU)4
6.EducationandTraining5
7.MonitoringCompliance5
8.SupportingReferences5
9.KeyWords6
1.Introduction
Postoperativearrhythmias,especiallythoseofsupraventricularorigin,areacommon
complicationaftercardiacsurgery.However,intachycardicorbroadQRScomplex
arrhythmias,thepwaveonthestandard12-leadECGmaybeobscured,making
evaluationofatrialactivitydifficult.
AtrialECGsrecordcardiacactivitydirectlyfromthesurfaceoftheatriumviatemporary
pacingwires,providingadistinctspikerepresentingatrialdepolarisation.Inconjunction
withconventionalsurfaceECGs,atrialECGsofferaquickmethodofclarifyingambiguous
rhythms,allowingforappropriatediagnosisandmanagement.
Page1of6
Title:AtrialECGs
V:4Approvedby:Children’sQualitySafetyBoard:March2023NextReview:March2026
TrustRefNo:C60/2016
NB:Papercopiesofthisdocumentmaynotbemostrecentversion.Thedefinitiveversionisheldinthe.Policiesan