Refractory Ventricular Fibrillation Successfully Cardioverted With Dual Sequential Defibrillation

Sena, Rodney; Eldrich, Samuel; Pescatore, Richard; Mazzarelli, Anthony; Byrne, Richard

doi:10.1016/j.jemermed.2016.05.024

Cited by 15 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The outcomes of this case suggest the DSD may be of benefit in terminating refractory VF and achieving temporary or sustained ROSC, but the benefit of achieving temporary or sustained ROSC in refractory VF should be weighed against ischemic burden and progressive myocardial dysfunction imposed during resuscitation [26,27]. Our case is similar to previously described cases in which the patients have remained in refractory VF to multiple SD shocks before receiving DSD [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Likewise, we find similarities between the outcome in this case and the results described by Cabañas et al on the first case series published on DSD in OHCA.…”

Section: Discussionsupporting

confidence: 75%

“…Several case reports and case series have been published in recent years supporting the use of DSD as an alternative treatment for refractory VF as there appears to be a trend of promising outcomes [10][11][12][16][17][18][19][20][21][22][23][24]. Coronary artery disease (CAD) is the most common reversible cause in patients with VF/pVT OHCA [25].…”

Section: Discussionmentioning

confidence: 99%

“…There are currently no firm guidelines regarding the treatment of refractory VF. Double sequential defibrillation (DSD) is an approach that has been proposed as an alternative treatment for refractory VF as there appears to be a trend of promising outcomes, including termination of refractory VF, sustained ROSC, increased short term survival and favorable outcomes to hospital discharge [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. We report a case of prolonged resuscitation of an 72-year-old man who developed pulseless ventricular tachycardia (pVT) that progressed to refractory VF terminated by DSD.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Beyond the Limit: Double Sequential Defibrillation as an Alternative Therapy for Refractory Ventricular Fibrillation

Miraglia¹,

Miguel²,

Alonso³

2019

AJMCR

View full text Add to dashboard Cite

The incidence of out-of-hospital cardiac arrest (OHCA) reported from the Resuscitation Outcomes Consortium (ROC) and the CARES registry in 2016 suggests that 110.8 individuals per 100,000 population or 347,000 adults annually suffer from OHCA in the United States (US); likewise, the incidence of in-hospital cardiac arrest (IHCA) reported by Get With The Guidelines-Resuscitation (GWTG-R) suggests that each year, 209,000 people are treated for IHCA. Double sequential defibrillation (DSD) has been proposed as an alternative treatment for refractory ventricular fibrillation (VF) as there appears to be a trend of promising outcomes, including termination of refractory VF, sustained ROSC, increased short term survival and favorable outcomes to hospital discharge. We report a case of prolonged resuscitation of an 72-year-old man who developed pulseless ventricular tachycardia (pVT) that progressed to refractory VF terminated by DSD. In addition, we provide a quick reference that summarizes the characteristics and resuscitative parameters of the reported case.

show abstract

Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Beyond the Limit: Double Sequential Defibrillation as an Alternative Therapy for Refractory Ventricular Fibrillation

Miraglia¹,

Miguel²,

Alonso³

2019

AJMCR

View full text Add to dashboard Cite

show abstract

“…Search terms included: "Heart Arrest", "Electric Countershock", "Ventricular Fibrillation", "Out-of-hospital Cardiac Arrest", "Cardiac arrest", "Defibrillation", "Double Sequential Defibrillation", "Refractory Ventricular Fibrillation", "Dual Shock", "Dual Defibrillation", "Double Simultaneous Defibrillation". The search revealed 12 published papers on the use of double sequential defibrillation in refractory ventricular fibrillation in the setting of cardiac arrest; describing a total of 38 cases [8][9][10][11][12][13][14][15][16][17][18][19]. Study selection was accomplished through 2 levels of study screening.…”

Section: Literature Review and Methodsmentioning

confidence: 99%

Dual defibrillation in patients with refractory ventricular fibrillation

Hajjar

Berbari

Tawil

et al. 2018

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

“…Human limitations result in “sequential” administration of the defibrillations. Other authors have also referred to the technique as “dual defibrillation,” “double simultaneous defibrillation,” and “dual sequential defibrillation” in the literature . DSD was first developed and tested in canine models of refractory VF .…”

Section: Importancementioning

confidence: 99%

Prehospital Double Sequential Defibrillation: A Matched Case–Control Study

Mapp

Hans

Darrington

et al. 2019

Academic Emergency Medicine

View full text Add to dashboard Cite

Objectives: The goal of our study was to determine whether prehospital double sequential defibrillation (DSD) is associated with improved survival to hospital admission in the setting of refractory ventricular fibrillation/pulseless ventricular tachycardia (VF/pVT).Methods: This project is a matched case-control study derived from prospectively collected quality assurance/ quality improvement data obtained from the San Antonio Fire Department out-of-hospital cardiac arrest (OHCA) database between January 2013 and December 2015. The cases were defined as OHCA patients with refractory VF/pVT who survived to hospital admission. The control group was defined as OHCA patients with refractory VF/ pVT who did not survive to hospital admission. The primary variable in our study was prehospital DSD. The primary outcome of our study was survival to hospital admission.Results: Of 3,469 consecutive OHCA patients during the study period, 205 OHCA patients met the inclusion criterion of refractory VF/pVT. Using a predefined algorithm, two blinded researchers identified 64 unique cases and matched them with 64 unique controls. Survival to hospital admission occurred in 48.0% of DSD patients and 50.5% of the conventional therapy patients (p > 0.99; odds ratio = 0.91, 95% confidence interval = 0.40-2.1).Conclusion: Our matched case-control study on the prehospital use of DSD for refractory VF/pVT found no evidence of associated improvement in survival to hospital admission. Our current protocol of considering prehospital DSD after the third conventional defibrillation in OHCA is ineffective.

show abstract

Refractory Ventricular Fibrillation Successfully Cardioverted With Dual Sequential Defibrillation

Cited by 15 publications

References 7 publications

Beyond the Limit: Double Sequential Defibrillation as an Alternative Therapy for Refractory Ventricular Fibrillation

Beyond the Limit: Double Sequential Defibrillation as an Alternative Therapy for Refractory Ventricular Fibrillation

Dual defibrillation in patients with refractory ventricular fibrillation

Prehospital Double Sequential Defibrillation: A Matched Case–Control Study

Contact Info

Product

Resources

About