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Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation A Literature Review

Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular... Ventricular fibrillation and pulseless ventricular tachycardia are the presenting rhythm in half of sudden cardiac deaths and have a higher successful resuscitation rate than asystole and pulseless electrical activity. The goal of defibrillation is to stun the myocardium and allow normal cardiac pace- makers to take over. Current American Heart Association guidelines for the treatment of ventricular fibrillation may not recommend enough energy to terminate prolonged ventricular fibrillation. Sev- eral reports have looked at simultaneous cardioversion with two defibrillators for atrial fibrillation refractory to treatment guidelines and have a high success rate. Because atrial and ventricular fibril- lation have many common features, it is reasonable to extrapolate that simultaneous defibrillation for ventricular fibrillation refractory to current guidelines may be beneficial in certain patient popu- lations. The literature contains a few cases of simultaneous defibrillation with two defibrillators for refractory ventricular fibrillation; the technique should be considered for patients not responding to standard treatment. Key words: defibrillation, refractory ventricular fibrillation N 2010, THE LEADING CAUSE OF DEATH 50% of all sudden cardiac death patients in the United States was heart disease (vs. pulseless electrical activity and asys- I (Murphy, Xu, & Koanek, 2013). Sud- tole) and have a much higher http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Simultaneous Transthoracic Defibrillation With Two Defibrillators for Refractory Ventricular Fibrillation A Literature Review

Advanced Emergency Nursing Journal , Volume 37 (1) – Jan 1, 2015

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Copyright
© 2015 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000051

Abstract

Ventricular fibrillation and pulseless ventricular tachycardia are the presenting rhythm in half of sudden cardiac deaths and have a higher successful resuscitation rate than asystole and pulseless electrical activity. The goal of defibrillation is to stun the myocardium and allow normal cardiac pace- makers to take over. Current American Heart Association guidelines for the treatment of ventricular fibrillation may not recommend enough energy to terminate prolonged ventricular fibrillation. Sev- eral reports have looked at simultaneous cardioversion with two defibrillators for atrial fibrillation refractory to treatment guidelines and have a high success rate. Because atrial and ventricular fibril- lation have many common features, it is reasonable to extrapolate that simultaneous defibrillation for ventricular fibrillation refractory to current guidelines may be beneficial in certain patient popu- lations. The literature contains a few cases of simultaneous defibrillation with two defibrillators for refractory ventricular fibrillation; the technique should be considered for patients not responding to standard treatment. Key words: defibrillation, refractory ventricular fibrillation N 2010, THE LEADING CAUSE OF DEATH 50% of all sudden cardiac death patients in the United States was heart disease (vs. pulseless electrical activity and asys- I (Murphy, Xu, & Koanek, 2013). Sud- tole) and have a much higher

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Jan 1, 2015

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