Double Sequential Defibrillation

作者：Simon Erica M; Tanaka Kaori^*

来源：Cardiology Clinics, 2018, 36(3): 387-+.

DOI：10.1016/j.ccl.2018.03.006

• Double sequential defibrillation
• Defibrillation
• Refractory ventricular fibrillation
• Vector theory
• Threshold theory

Ventricular fibrillation (VF) is the most commonly encountered arrhythmia following out-of-hospital cardiac arrest. Previous studies have demonstrated early defibrillation and bystander cardiopulmonary resuscitation as essential in reducing patient mortality. What remains a clinical concern, however, is the treatment of patients experiencing VF refractory to defibrillation. Although current guidelines advocate pharmacotherapy for the management of shock-refractory VF, double sequential defibrillation has become a popular topic of discussion. This article provides a discourse regarding refractory VF and a review of the double sequential defibrillation literature. Further study is required before the recommendation for widespread implementation of this defibrillation technique.

• 出版日期2018-8