Caves P K, Geddes J S, Scott M E
Thorax. 1970 May;25(3):288-9. doi: 10.1136/thx.25.3.288.
General anaesthesia is usually recommended for the most painful part of long-term transvenous pacemaker implantation, , the pulling subcutaneously of the end of the electrode from the neck incision to the site of pacemaker implantation. The ability to perform this step, and therefore the whole procedure, under local anaesthesia is an advantage. We describe a simple, inexpensive device which permits implantation of long-term transvenous cardiac pacemaker electrodes under local anaesthesia. Its use reduces operating time, pain and bleeding and avoids the dangers of general anaesthesia. The device and our implantation technique, as used in 58 patients, are described in detail. The device consists of a solid steel rod introducer and a slightly modified Mousseau Barbin tube (Porges 5870).
对于长期经静脉起搏器植入术中最疼痛的部分，即从颈部切口将电极末端皮下牵拉至起搏器植入部位，通常建议采用全身麻醉。能够在局部麻醉下完成这一步骤乃至整个手术是一个优势。我们描述了一种简单、廉价的装置，它能使长期经静脉心脏起搏器电极在局部麻醉下植入。其使用减少了手术时间、疼痛和出血，并避免了全身麻醉的风险。文中详细描述了该装置以及我们在58例患者中使用的植入技术。该装置由一根实心钢棒导入器和一根稍加改良的穆索·巴尔宾管（Porges 5870）组成。
