Combination of internal (epicardial) and external (transthoracic) defibrillation during heart surgery.
Arrhythmia therapy
Defibrillation
Re-operation
Shock
Journal
Indian journal of thoracic and cardiovascular surgery
ISSN: 0973-7723
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
30
08
2019
revised:
17
09
2019
accepted:
22
09
2019
entrez:
16
10
2020
pubmed:
17
10
2020
medline:
17
10
2020
Statut:
ppublish
Résumé
This report describes a modified defibrillation technique during cardiac surgery using a combined internal (epicardial) and external (transthoracic) defibrillation system. We routinely used 30 J (J) shock between the epicardial pad placed directly onto the right atrium and the left anterolateral transthoracic pad placed in the left anterolateral chest wall directly to the skin in the area of the cardiac apex under the nipple. Thirty-two patients whom developed ventricular fibrillation (VF) during surgery were managed in theatre using this method. A single 30 J shock was successfully given in 29 patients while the remaining three required an additional shock with the same amount (30 J). We believe that this technique is safe and complications free. It is easy to perform especially in patients with difficult access such as redo operations.
Identifiants
pubmed: 33061118
doi: 10.1007/s12055-019-00882-3
pii: 882
pmc: PMC7525868
doi:
Types de publication
Journal Article
Langues
eng
Pagination
163-165Informations de copyright
© Indian Association of Cardiovascular-Thoracic Surgeons 2019.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare that they have no conflict of interest.
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