Literature DB >> 995520

Energy dose for ventricular defibrillation of children.

H P Gutgesell, W A Tacker, L A Geddes, S Davis, J T Lie, D G McNamara.   

Abstract

Transthoracic direct current shock is the recommended treatment for ventricular fibrillation in children as in adults. To determine the appropriate energy dose, data were collected from 71 defibrillation attempts in 27 children. Sixty-three of the 71 shocks (89%) were successful in terminating fibrillation. Fifty-seven shocks were within 10 watt-seconds (w-sec) above or below an energy dose of 2 w-sec/kg of body weight. Fifty-two (91%) of these were effective and five (9%) were ineffective. In every case, fibrillation was ultimately terminated by a shock of 4 w-sec/kg or less. The results of these studies suggest that an energy dose of 2 w-sec/kg (or approximately 1 w-sec/lb) is adequate to defibrillate most children weighing under 50 kg. We currently use 2 w-sec/kg and double the energy dose if the first defibrillation attempt is unsuccessful.

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Year:  1976        PMID: 995520

Source DB:  PubMed          Journal:  Pediatrics        ISSN: 0031-4005            Impact factor:   7.124


  12 in total

1.  Attenuating the defibrillation dosage decreases postresuscitation myocardial dysfunction in a swine model of pediatric ventricular fibrillation.

Authors:  Marc D Berg; Isabelle L Banville; Fred W Chapman; Robert G Walker; Mohammed A Gaballa; Ronald W Hilwig; Ricardo A Samson; Karl B Kern; Robert A Berg
Journal:  Pediatr Crit Care Med       Date:  2008-07       Impact factor: 3.624

2.  Singapore Paediatric Resuscitation Guidelines 2016.

Authors:  Gene Yong Kwang Ong; Irene Lai Yeen Chan; Agnes Suah Bwee Ng; Su Yah Chew; Yee Hui Mok; Yoke Hwee Chan; Jacqueline Soo May Ong; Sashikumar Ganapathy; Kee Chong Ng
Journal:  Singapore Med J       Date:  2017-07       Impact factor: 1.858

Review 3.  Part 12: Pediatric Advanced Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Authors:  Allan R de Caen; Marc D Berg; Leon Chameides; Cheryl K Gooden; Robert W Hickey; Halden F Scott; Robert M Sutton; Janice A Tijssen; Alexis Topjian; Élise W van der Jagt; Stephen M Schexnayder; Ricardo A Samson
Journal:  Circulation       Date:  2015-11-03       Impact factor: 29.690

4.  Congestive cardiac failure in a 20-day-old infant.

Authors:  N K Roberts; J S Child; W R Cabeen
Journal:  West J Med       Date:  1980-07

5.  Better outcome after pediatric resuscitation is still a dilemma.

Authors:  Sandeep Sahu; Kamal Kishore; Indu Lata
Journal:  J Emerg Trauma Shock       Date:  2010-07

Review 6.  Ventricular fibrillation and defibrillation.

Authors:  P Jones; N Lodé
Journal:  Arch Dis Child       Date:  2007-10       Impact factor: 3.791

7.  Myocardial damage following transthoracic direct current countershock in newborn piglets.

Authors:  D M Gaba; N S Talner
Journal:  Pediatr Cardiol       Date:  1982       Impact factor: 1.655

8.  Guidelines for paediatric life support. Paediatric Life Support Working Party of the European Resuscitation Council.

Authors: 
Journal:  BMJ       Date:  1994-05-21

9.  Defibrillation in children.

Authors:  Sarah E Haskell; Dianne L Atkins
Journal:  J Emerg Trauma Shock       Date:  2010-07

10.  Pediatric defibrillation after cardiac arrest: initial response and outcome.

Authors:  Antonio Rodríguez-Núñez; Jesús López-Herce; Cristina García; Pedro Domínguez; Angel Carrillo; Jose María Bellón
Journal:  Crit Care       Date:  2006       Impact factor: 9.097

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