2002
DOI: 10.1186/1475-925x-1-7
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Estimation of current density distribution under electrodes for external defibrillation

Abstract: Background: Transthoracic defibrillation is the most common life-saving technique for the restoration of the heart rhythm of cardiac arrest victims. The procedure requires adequate application of large electrodes on the patient chest, to ensure low-resistance electrical contact. The current density distribution under the electrodes is non-uniform, leading to muscle contraction and pain, or risks of burning. The recent introduction of automatic external defibrillators and even wearable defibrillators, presents … Show more

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Cited by 55 publications
(22 citation statements)
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“…The non-uniformity decreased monotonically as the buffer layer thickness and resistivity increased. A reduction from 200 to 160% was also obtained by adding a ring of higher resistivity of 100 Wm around the perimeter [45]. For a planar copper electrode, 9 mm in diameter, a radially varying conical recession appeared to be the best design.…”
Section: Current Safety Limits For Applied Low Frequency Currents To mentioning
confidence: 97%
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“…The non-uniformity decreased monotonically as the buffer layer thickness and resistivity increased. A reduction from 200 to 160% was also obtained by adding a ring of higher resistivity of 100 Wm around the perimeter [45]. For a planar copper electrode, 9 mm in diameter, a radially varying conical recession appeared to be the best design.…”
Section: Current Safety Limits For Applied Low Frequency Currents To mentioning
confidence: 97%
“…As might be expected from charge separation, alteration of the boundary shape alone led to no significant improvement. There was still substantial non-uniformity of current injection at the boundary of clover, daisy, and spiralshaped electrodes [57] or with inclusion of openings in defibrillation electrodes [45]. A recessed electrode design was also used in a Magnetic Resonance EIT application to avoid artefacts in MR images near the electrodes due to the RF shielding effect of copper electrode [48].…”
Section: Current Safety Limits For Applied Low Frequency Currents To mentioning
confidence: 99%
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“…Here, we demonstrate that the hydrogel ionic stimulators reduced these adverse effects ( Figure ). We injected a constant current of 65 mA at a density of 0.72 A cm −2 into an excised chicken breast and exposed rat TA muscle for 30 s, which is significantly higher than the pain threshold for the commercial textile electrodes (0.13 mA cm −2 ) and hydrogel‐coated electrodes (1.38 mA cm −2 ), but is relevant to the current density applied during electroporation and external defibrillation . Hydrogel ionic electrodes, carbon, and metal electrodes were tested (Figure S13, Supporting Information).…”
mentioning
confidence: 89%
“…Action potentials can be argued to have useful frequency content between 100 Hz to about 8 kHz and signal amplitude that can go into single digit microvolt range [1]. It is evident from stimulation studies that several factors are significant; signal characteristics owe some dependency on physiological factors but are also modulated by electrode geometry [5], target neural tissue composition [2] and electrode impedance [6][7][8]. The presence of external noise as well as internal noise sources, common mode and power supply noise must also be kept in check.…”
Section: Neural Amplifiers Specificationsmentioning
confidence: 99%