First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration

There is a subset of patients who suffer a witnessed ventricular fibrillation (VF) arrest and despite receiving reasonable care with medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 joules of biphasic current) remain in refractory VF (RVF), also known as elec...

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Detalles Bibliográficos
Autores principales: Boehm, Kevin M., Keyes, Daniel C., Mader, Laura E, Moccia, J. Michelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2016
Materias:
Critical Care
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102605/
https://www.ncbi.nlm.nih.gov/pubmed/27833686
http://dx.doi.org/10.5811/westjem.2016.8.30351
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author Boehm, Kevin M.
Keyes, Daniel C.
Mader, Laura E
Moccia, J. Michelle
author_facet Boehm, Kevin M.
Keyes, Daniel C.
Mader, Laura E
Moccia, J. Michelle
author_sort Boehm, Kevin M.
collection PubMed
description There is a subset of patients who suffer a witnessed ventricular fibrillation (VF) arrest and despite receiving reasonable care with medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 joules of biphasic current) remain in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, with a novel approach, survived RVF to outpatient follow up.
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spelling pubmed-51026052016-11-10 First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration Boehm, Kevin M. Keyes, Daniel C. Mader, Laura E Moccia, J. Michelle West J Emerg Med Critical Care There is a subset of patients who suffer a witnessed ventricular fibrillation (VF) arrest and despite receiving reasonable care with medications (epinephrine and amiodarone) and multiple defibrillations (3+ attempts at 200 joules of biphasic current) remain in refractory VF (RVF), also known as electrical storm. The mortality for these patients is as high as 97%. We present the case of a patient who, with a novel approach, survived RVF to outpatient follow up. Department of Emergency Medicine, University of California, Irvine School of Medicine 2016-11 2016-10-20 /pmc/articles/PMC5102605/ /pubmed/27833686 http://dx.doi.org/10.5811/westjem.2016.8.30351 Text en © 2016 Bohem et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Critical Care
Boehm, Kevin M.
Keyes, Daniel C.
Mader, Laura E
Moccia, J. Michelle
First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title_full First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title_fullStr First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title_full_unstemmed First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title_short First Report of Survival in Refractory Ventricular Fibrillation After Dual-Axis Defibrillation and Esmolol Administration
title_sort first report of survival in refractory ventricular fibrillation after dual-axis defibrillation and esmolol administration
topic Critical Care
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102605/
https://www.ncbi.nlm.nih.gov/pubmed/27833686
http://dx.doi.org/10.5811/westjem.2016.8.30351
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