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Refractory Ventricular Fibrillation Treated with Double Simultaneous Defibrillation: Pilot Study
Joint Authors
Lee, Dong Keon
Park, Seung Min
Kim, Yu Jin
Kim, Joonghee
Kim, Hee Eun
Lee, Kui Ja
Jo, You Hwan
Lee, Jae Hyuk
Kim, Dong Won
Oh, Young Taeck
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-27
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Refractory shockable rhythm has a high mortality rate and poor neurological outcome.
Treatments for refractory shockable rhythm presenting after defibrillation and medical treatment are not definite.
We conducted research on the application of double simultaneous defibrillation (DSiD) for refractory shockable rhythms.
Methods.
This is a retrospective pilot study performed using medical records from 1 January 2016 to 31 December 2017.
The prephase was from January to December 2016.
The post-phase was from January to December 2017.
During the prephase, we conducted conventional defibrillation with one defibrillator, and during the post-phase, we conducted DSiD using two defibrillators.
Primary outcome was survival to hospital discharge.
Secondary outcomes included survival to hospital admission and good neurological outcome at 12 months.
Statistical analysis was conducted using Fisher’s exact test.
Data were regarded statistically significant when p<0.05.
Result.
A total of 38 patients were included.
Twenty-one patients underwent conventional defibrillation, and 17 underwent DSiD.
The DSiD group had a higher survival to admission rate (14/17 (82.4%) vs.
6/21 (28.6%), p=0.001) and showed a trend for higher survival to discharge (7/17 (41.2%) vs.
3/21 (14.3%), p=0.078).
Good neurological outcome at 12 months of the DSiD group was higher than that of the conventional defibrillation group, but the difference was not statistically significant (5/17 (29.4%) vs 2/21 (9.5%), p=0.207).
Conclusion.
In patients with refractory shockable rhythms, DSiD has increased survival to hospital admission and a trend of increased survival to hospital discharge.
However, DSiD did not improve neurological outcome at 12 months.
American Psychological Association (APA)
Kim, Hee Eun& Lee, Kui Ja& Jo, You Hwan& Lee, Jae Hyuk& Kim, Yu Jin& Kim, Joonghee…[et al.]. 2020. Refractory Ventricular Fibrillation Treated with Double Simultaneous Defibrillation: Pilot Study. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159047
Modern Language Association (MLA)
Kim, Hee Eun…[et al.]. Refractory Ventricular Fibrillation Treated with Double Simultaneous Defibrillation: Pilot Study. Emergency Medicine International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1159047
American Medical Association (AMA)
Kim, Hee Eun& Lee, Kui Ja& Jo, You Hwan& Lee, Jae Hyuk& Kim, Yu Jin& Kim, Joonghee…[et al.]. Refractory Ventricular Fibrillation Treated with Double Simultaneous Defibrillation: Pilot Study. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159047
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159047