The Practical Indication of Defibrillation and Cardioversion for Critical Tachyarrhythmias during Perioperative Periods

DOI 9 References

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Other Title
  • 重症不整脈を有する患者の麻酔管理 （1）重症頻脈性不整脈に対する除細動の適応と実際

Description

  Lifethreatening tachyarrhythmias are ventricular fibrillation (VF) and pulseless ventricular tachycardia (pulseless VT), which require immediate cardiopulmonary resuscitation and defibrillation. Other critical tacharrythmias may require synchronized cardioversion. High-energy unsynchronized shocks (defibrillation doses) are necessary for both VF and pulseless VT. Don't hesitate to apply electrodes on alternative pad positions. Self-adhesive defibrillation electrodes may be preferred for the purpose of safety. Synchronized cardioversion at 100J can be applied for regular VT. Relatively high-energy synchronized cardioversion may be applied for atrial fibrillation (Af), which appears to result in successful defibrillation. Paroxysmal supraventricular tachycardia (PSVT) and atrial flutter (AF) are respond well to relatively low-energy synchronized cardioversion (50-100J).

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Details 詳細情報について

  • CRID
    1390001204759195136
  • NII Article ID
    130004450094
  • DOI
    10.2199/jjsca.32.620
  • ISSN
    13499149
    02854945
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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