Double sequential defibrillation for refractory ventricular fibrillation
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W.B. Saunders
Abstract
A 54-year-old suffered from an out-of-hospital cardiac arrest. Compressions were started within minutes and the patient was in refractory ventricular fibrillation despite multiple asynchronized shocks and maximal doses of antiarrhythmic agents. Double sequential defibrillation was attempted with successful Return Of Spontaneous Circulation (ROSC) after a total of 61 min of cardiac arrest. The patient was discharged home neurologically intact. Double sequential defibrillation could be a simple effective approach to patients with refractory ventricular fibrillation. © 2017 Elsevier Inc.
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Keywords
Defibrillation, Double sequential, Refractory, Resuscitation, Ventricular fibrillation, Cardiopulmonary resuscitation, Clinical protocols, Electric countershock, Emergency medical services, Humans, Hypothermia, induced, Male, Middle aged, Out-of-hospital cardiac arrest, Time factors, Treatment outcome, Amiodarone, Antiarrhythmic agent, Epinephrine, Gluconate calcium, Lidocaine, Magnesium sulfate, Adult, Article, Case report, Clinical article, Emergency care, Heart ventricle fibrillation, Human, Induced hypothermia, Out of hospital cardiac arrest, Outcome assessment, Priority journal, Return of spontaneous circulation, Cardioversion, Clinical protocol, Complication, Emergency health service, Pathophysiology, Procedures, Time factor