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Early Impressions and Adoption of the AtriAmp for Managing Arrhythmias Following Congenital Heart Surgery

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Abstract

AtriAmp is a new medical device that displays a continuous real-time atrial electrogram on telemetry using temporary atrial pacing leads. Our objective was to evaluate early adoption of this device into patient care within our pediatric intensive care unit (PICU). This is a qualitative study using inductive analysis of semi-structured interviews to identify dominant themes. The study was conducted in a single-center, tertiary, academic 21-bed mixed PICU. The subjects were PICU multidisciplinary team members (Pediatric Cardiac Intensivists, PICU Nurse Practitioners, PICU nurses and Pediatric Cardiologists) who were early adopters of the AtriAmp (n = 14). Three prominent themes emerged: (1) Accelerated time from arrhythmia event to diagnosis and treatment; (2) Increased confidence in the accuracy of providers’ arrhythmia diagnosis; and (3) Improvement in the ability to educate providers about post-operative arrhythmias. Providers also noted some learning curves, but none compromised medical care or clinical workflow. Insights from early adopters of AtriAmp signal the need for simplicity and fidelity in new PICU technologies. Our research suggests that such technologies can be pivotal to the support and growth of multi-disciplinary teams, even among those who do not participate in early implementation. Further research is needed to understand when and why novel technology adoption becomes widespread in high-stakes settings.

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Data Availability

No datasets were generated or analysed during the current study.

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Funding

Dr. Olson’s participation in the research reported in this publication was supported in part by the Eunice Kennedy Shriver National Institute of Child Health & Human Development, the Office of Research on Women’s Health, Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) program, the Office of The Director, National Institutes of Health, and the National Cancer Institute, under Award Number K12HD101368. The authors extend their gratitude to Jen Merems, PhD with UW ICTR for their editorial assistance on this manuscript. UW ICTR is supported by the Clinical and Translational Science Award (CTSA) program and the National Center for Advancing Translational Sciences (NCATS) through grant 1UL1TR002373.

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Authors and Affiliations

  1. Division of Critical Care, Department of Pediatrics, American Family Children’s Hospital, 600 Highland Ave, Mailcode 4108, Madison, WI, 53742, USA

    Scott M. Leopold

  2. Division of Critical Care, Department of Pediatrics, Presbyterian Hospital, Albuquerque, NM, USA

    Diane H. Brown

  3. Division of Pediatric Cardiology, Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA

    **ao Zhang & Krisjon R. Olson

  4. Department of Sociology, University of Wisconsin-Madison, Madison, WI, USA

    Xuan T. Nguyen

  5. Division of Critical Care, Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA

    Awni M. Al-Subu

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Contributions

SML and KRO- Primary authors of the manuscript, prepared all tables and figures DHB- developed the interview guide, conducted all audio-taped interviews of study participants SML, KRO, ZTN- reviewed and coded all interview transcripts, analyzed interviews to identify themes All authors reviewed the manuscript including tables and figures

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Correspondence to Scott M. Leopold.

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Competing interests

Dr. Al-Subu has consulting agreements with Edwards Lifesciences LLC and served as a medical editor for the American Institute for Advanced Professional Studies. Dr. Olson’s participation in the research reported in this publication was supported in part by the Eunice Kennedy Shriver National Institute of Child Health & Human Development, the Office of Research on Women’s Health, Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) program, the Office of The Director, National Institutes of Health and the National Cancer Institute, under Award Number K12HD101368. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health

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This work was performed at the University of Wisconsin-Madison American Family Children’s Hospital.

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Leopold, S.M., Brown, D.H., Zhang, X. et al. Early Impressions and Adoption of the AtriAmp for Managing Arrhythmias Following Congenital Heart Surgery. Pediatr Cardiol (2024). https://doi.org/10.1007/s00246-024-03573-y

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