Ventricular fibrillation and defibrillation
- PMID: 17895341
- PMCID: PMC2083243
- DOI: 10.1136/adc.2006.115618
Ventricular fibrillation and defibrillation
Abstract
Cardiac arrest in children is not often due to a disturbance in rhythm that is amenable to electrical defibrillation, contrary to the situation in adults. When a shockable rhythm is present, defibrillation using an external electric shock applied at an early stage after pre-oxygenation and chest compressions is of proven efficacy. Success at conversion of ventricular fibrillation is dependent on the delay before delivering the shock and defibrillation efficiency, which is itself a function of thoracic impedance, energy dose and waveform.
Conflict of interest statement
Competing interests: None.
References
-
- Biarent D, Bingham R, Richmond S.et al European Resuscitation Council guidelines for resuscitation 2005. Section 6: Paediatric life support, Resuscitation 200567(Suppl 1)S97–133. - PubMed
-
- International Liaison Committee on Resuscitation The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: pediatric basic and advanced life support. Pediatrics 2006117(5)e955–e977. - PubMed
-
- Samson R, Berg R, Bingham R.et al Use of automated external defibrillators for children: an update. An advisory statement from the Pediatric Advanced Life Support Task Force, International Liaison Committee on Resuscitation. Resuscitation 200357237–243. - PubMed
-
- Jalife J, Pandit S V. Ionic mechanisms of wavebreak in fibrillation. Heart Rhythm 20052(6)660–663. - PubMed
-
- Lee J, Kamjoo K, Hough D.et al Reentrant wave fronts in Wiggers' stage II ventricular fibrillation: characteristics and mechanisms of termination and spontaneous regeneration. Circ Res 199678660–675. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical