WebIn three retrospective cases, we describe our use of DSD for refractory V-fib in the ED, in the hopes of encouraging further exploration of this potentially life-saving treatment modality in the treatment of refractory V-fib. ... Lee YH, Lee KJ, Min YH, et al. Refractory ventricular fibrillation treated with esmolol. Resuscitation. 2016;107:150 ... Shock-refractory VF/pVTrefers to VF or pVT that persists or recurs after ≥1 shocks. An antiarrhythmic drug alone is unlikely to pharmacologically convert VF/pVT to an organized perfusing rhythm. Rather, the primary … See more The 2024 ILCOR systematic review sought to determine whether the prophylactic administration of antiarrhythmic drugs after successful termination of VF/pVT cardiac arrest results in better outcome. This prophylaxis … See more As noted in the ACLS portion of the 2010 guidelines,7CPR and defibrillation are the only therapies associated with improved survival in patients with VF/pVT. In this 2024 ACLS guidelines … See more
BCE 73 Esmolol in Refractory Ventricular Fibrillation
WebApr 26, 2024 · Cardiac arrest in an event of acute myocardial infarction most commonly results in life-threatening ventricular tachycardia or ventricular fibrillation (VF). Patients who remain in VF despite optimal epinephrine, amiodarone, and three or more attempts at 200 joules of biphasic current defibrillation are known to be in an electrical storm. Here, we … WebSep 5, 2016 · Single center retrospective pre-post study of patients with refractory ventricular fibrillation (RVF) receiving esmolol (Loading dose 500ug/kg, infusion 0 – 100ug/kg/min) Inclusion: Age ≥ 18 years OHCA with initial VF or VT RVF (VF resistant to ≥3 defibrillation, 3mg epinephrine, 300mg of amiodarone, and no ROSC after >10min of CPR) … flights to kefalonia from cardiff airport
Dual Defibrillation: The Achilles
WebJun 7, 2024 · Case reports, case series, and small retrospective studies have pointed to benefit when utilizing a variety of therapies, namely, esmolol, dual sequential defibrillation, vector change defibrillation, or left stellate ganglion block, in patients with refractory ventricular fibrillation arrest. WebJul 3, 2024 · Why esmolol for refractory Ventricular Fibrillation? In refractory Ventricular Fibrillation there is a huge increase in sympathetic tone at … WebFeb 7, 2024 · Driver BE, Debaty G, Plummer DW, Smith SW. Use of esmolol after failure of standard cardiopulmonary resuscitation to treat patients with refractory ventricular fibrillation. Resuscitation. 2014;85:1337-1341. Lee YH, et al. Refractory ventricular fibrillation treated with esmolol. Resuscitation. 2016;107:150-155. flights to kearney