Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8717002 | The American Journal of Emergency Medicine | 2018 | 19 Pages |
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.
Keywords
SPSSROSCOHCAACLSDouble sequential defibrillationRefractory ventricular fibrillationRVFs/pEMSPEACPCAEDRCADSDN/AMyocardial infarctionobstructive sleep apneaResuscitationCardiopulmonary resuscitationCPRstandard deviationCardiac arrestReturn of spontaneous circulationOsastatistical package for social sciencescoronary artery diseaseMinemergency medical servicesIntravenousOut-of-hospital cardiac arrestAutomated external defibrillatorminutesDiabetes mellitusCerebral performance categoryFemaleright coronary arteryCADantero-posteriorHypertensionpulseless electrical activityVentricular fibrillationnot applicableLADMaleAdvanced cardiac life supportnot reported
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Authors
Karim M.D., Iskandar B.S., Chady M.D., Ralphe M.D., Gilbert M.D.,