Defibrillation - Revision history

Elcatracho: /* See Also */

2021-02-20T18:47:30Z

Elcatracho: /* Procedure */

2021-01-18T21:51:59Z

Procedure

← Older revision		Revision as of 21:51, 18 January 2021
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	**Initial 120-200J for VF/pulseless Vtach in adults (Monophasic 360J)<ref>Neumar RW, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Part 8: Adult Advanced Cardiovascular Life Support. Circulation. 2010; 122: S729-S767.</ref>		**Initial 120-200J for VF/pulseless Vtach in adults (Monophasic 360J)<ref>Neumar RW, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Part 8: Adult Advanced Cardiovascular Life Support. Circulation. 2010; 122: S729-S767.</ref>
	**Initial 2-4J/kg (Do not exceed J/kg) for pediatric VF/pulseless Vtach<ref>Kleinman ME, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Part 14: Pediatric Advanced Life Support. Circulation. 2010; 122: S876-S908.</ref>		**Initial 2-4J/kg (Do not exceed J/kg) for pediatric VF/pulseless Vtach<ref>Kleinman ME, et al. 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Part 14: Pediatric Advanced Life Support. Circulation. 2010; 122: S876-S908.</ref>
			***Biphasic defibrillates more effectively and at lower energies than monophasic waveforms<ref>Mittal S, Ayati S, Stein KM, et al. Comparison of a novel rectilinear biphasic waveform with a damped sine wave monophasic waveform for transthoracic ventricular defibrillation. ZOLL Investigators. J Am Coll Cardiol. 1999;34(5):1595-1601. doi:10.1016/s0735-1097(99)00363-0</ref><ref>Schneider T, Martens PR, Paschen H, et al. Multicenter, randomized, controlled trial of 150-J biphasic shocks compared with 200- to 360-J monophasic shocks in the resuscitation of out-of-hospital cardiac arrest victims. Optimized Response to Cardiac Arrest (ORCA) Investigators. Circulation. 2000;102(15):1780-1787. doi:10.1161/01.cir.102.15.1780</ref>

	==Complications==		==Complications==

Rossdonaldson1: /* Complications */

2020-12-12T10:51:40Z

Complications

← Older revision		Revision as of 10:51, 12 December 2020
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	*Defibrillator Refractory [[VF]]		*Defibrillator Refractory [[VF]]
	**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>		**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>
	**Consider ~~Esmolol~~ bolus 500 mcg/kg IVP over 30 seconds followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>		**Consider [[esmolol]] bolus 500 mcg/kg IVP over 30 seconds followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>
	**Consider [[Stellate Ganglion Nerve Block\|stellate ganglion nerve block]]		**Consider [[Stellate Ganglion Nerve Block\|stellate ganglion nerve block]]

Elcatracho: /* Complications */

2020-11-30T03:47:41Z

Complications

← Older revision		Revision as of 03:47, 30 November 2020
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	*Defibrillator Refractory [[VF]]		*Defibrillator Refractory [[VF]]
	**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>		**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>
	**Consider Esmolol bolus 500 mcg/kg IVP over 30 seconds ~~(typical dose ranges 35-50 mg)~~ followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>		**Consider Esmolol bolus 500 mcg/kg IVP over 30 seconds followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>
	**Consider [[stellate ganglion nerve block]]		**Consider [[Stellate Ganglion Nerve Block\|stellate ganglion nerve block]]

	==See Also==		==See Also==

Elcatracho: /* Complications */

2020-11-30T03:46:59Z

Complications

← Older revision		Revision as of 03:46, 30 November 2020
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	**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>		**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>
	**Consider Esmolol bolus 500 mcg/kg IVP over 30 seconds (typical dose ranges 35-50 mg) followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>		**Consider Esmolol bolus 500 mcg/kg IVP over 30 seconds (typical dose ranges 35-50 mg) followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>
			**Consider [[stellate ganglion nerve block]]

	==See Also==		==See Also==

Elcatracho: /* Complications */

2020-11-30T03:46:23Z

Complications

← Older revision		Revision as of 03:46, 30 November 2020
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	*Defibrillator Refractory [[VF]]		*Defibrillator Refractory [[VF]]
	**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>		**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>
			**Consider Esmolol bolus 500 mcg/kg IVP over 30 seconds (typical dose ranges 35-50 mg) followed by drip of 50 mcg/kg/min if ROSC obtained <ref>Driver BE, Debaty G, Plummer DW, et al. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with ventricular fibrillation. Resuscitation. 2014; 85(10):1337-1341.</ref>

	==See Also==		==See Also==
	*[[ACLS (Main)]]		*[[ACLS (Main)]]

ClaireLewis at 16:00, 9 October 2019

2019-10-09T16:00:48Z

← Older revision		Revision as of 16:00, 9 October 2019
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	==Complications==		==Complications==
	*Defibrillator Refractory VF		*Defibrillator Refractory [[VF]]
	**Consider apply 2 defibrillators and delivering double sequential external shocks<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>		**Consider apply 2 defibrillators and delivering [[Double simultaneous external defibrillation\|double sequential external shocks]]<ref>Hoch DH, et al. Double sequential external shocks for refractory ventricular fibrillation. J Am Coll Cardiol. 1994; 23(5):1141-5.</ref><ref>Cabanas JG, et al. Double Sequential External Defibrillation in Out-of-Hospital Refractory Ventricular Fibrillation: A Report of Ten Cases. Prehosp Emerg Care. 2015; 19(1):126-130.</ref>

	==See Also==		==See Also==
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	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Critical Care]]

Rossdonaldson1: /* Background */

2019-03-26T18:02:16Z

Background

← Older revision		Revision as of 18:02, 26 March 2019
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	''See [[critical care quick reference]] for defibrillation settings (joules) by weight.''		''See [[critical care quick reference]] for defibrillation settings (joules) by weight.''
	==Background==		==Background==
			*Unsynchronized shock

	{{Defibrillation and cardioversion indications}}		{{Defibrillation and cardioversion indications}}

Rossdonaldson1 at 18:01, 26 March 2019

2019-03-26T18:01:31Z

← Older revision		Revision as of 18:01, 26 March 2019
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	''See [[critical care quick reference]] for defibrillation settings (joules) by weight.''		''See [[critical care quick reference]] for defibrillation settings (joules) by weight.''
			==Background==

	{{Defibrillation and cardioversion indications}}		{{Defibrillation and cardioversion indications}}

Mholtz at 06:31, 13 July 2017

2017-07-13T06:31:16Z

← Older revision		Revision as of 06:31, 13 July 2017
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	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Procedures]]		[[Category:Procedures]]

← Older revision		Revision as of 18:47, 20 February 2021
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	*[[Tachycardia (Wide)]]		*[[Tachycardia (Wide)]]
	*[[Adult pulseless arrest]]		*[[Adult pulseless arrest]]
			*[[In-Training Exam Review]]

	==External Links==		==External Links==