Dual defibrillation in patients with refractory ventricular fibrillation
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W.B. Saunders
Abstract
In the setting of cardiac arrest, refractory ventricular fibrillation (VF) is difficult to manage, and mortality rates are high. Double sequential defibrillation (DSD) has been described in the literature as a successful means to terminate this malignant rhythm, after failure of traditional Advanced Cardiac Life Support (ACLS) measures. The authors herein present a case of refractory VF in a patient with cardiac arrest, on whom DSD was successful in reversion to sinus rhythm, and provide a thorough review of similar cases in the literature. © 2018 Elsevier Inc.
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Keywords
Cardiac arrest, Electric counter shock, Emergency medical services, Ventricular fibrillation, Adult, Advanced cardiac life support, Aged, Aged, 80 and over, Defibrillators, Electric countershock, Female, Humans, Male, Middle aged, Out-of-hospital cardiac arrest, Recurrence, Amiodarone, Bicarbonate, Epinephrine, Gluconate calcium, Magnesium sulfate, Coronary artery disease, Coronary artery occlusion, Defibrillation, Heart arrest, Heart contusion, Heart ventricle fibrillation, Human, Long qt syndrome, Out of hospital cardiac arrest, Priority journal, Resuscitation, Return of spontaneous circulation, Review, Sinus bradycardia, Time to treatment, Cardioversion, Case report, Defibrillator, Emergency health service, Mortality, Procedures, Recurrent disease, Statistics and numerical data, Very elderly