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- Article] Preliminary in-hospital experience with a fully automatic external cardioverter-defibrillator
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DocNo of ILP: 5533
Doc. Type: Article
Title: Preliminary in-hospital experience with a fully automatic external cardioverter-defibrillator
Authors: Bento, AM; Cardoso, LF; Timerman, S; Moretti, MA; Peres, EDB; de Paiva, EF; Ramires, JAF; Kern, KB
Full Name of Authors: Bento, AM; Cardoso, LF; Timerman, S; Moretti, MA; Peres, EDB; de Paiva, EF; Ramires, JAF; Kern, KB
Keywords by Author: cardiac arrests; automated external defibrillator; defibrillation; ventricular fibrillation; ventricular tachycardia
Keywords Plus: CARDIAC-ARREST; VENTRICULAR-FIBRILLATION; RAPID DEFIBRILLATION; CARDIOPULMONARY-RESUSCITATION; SURVIVAL; OUTCOMES; CASINOS; SAFETY; CHAIN
Abstract: Background: Ventricular fibrillation (VF) and ventricular tachycardia (VT) are frequently present as initial rhythms during in-hospital cardiac arrest. Although ample evidence exists to support the need for rapid defibrillation, the response to in-hospital cardiac arrest remains without major advances in recent years. The delay between the arrhythmic event and intervention is still a challenge for clinical practice. Objective: To analyze the performance and safety of in-hospital use of a programmable, fully automatic external cardioverter-defibrillator (AECD). Methods: We conducted a prospective study at the Emergency Department of a university hospital. A total of 55 patients considered to be at risk of sustained VT/VF were included. Patients underwent monitoring of their cardiac rhythm by the AECD. Upon detection of a ventricular tachyarrhythmia, the AECD was programmed to automatically deliver shock therapy. Results: We recorded 19 episodes of VT/VF in 3 patients. The median time between the beginning of the arrhythmia and the first defibrillation was 33.4 s (21-65 s). One episode of spontaneous reversion of VT was documented 20 s after its origin and shock therapy was aborted. The defibrillation success was 94.4% (17/18) for the first shock and 100% (1/1) for the second shock. No case of inappropriate shock discharge was registered during the study period. Conclusion: The AECD has the feasibility to combine long-term monitoring with automatic defibrillation safely and effectively. It presents the possibility of providing rapid identification of, and response to, in-hospital ventricular tachyarrhythmias. (C) 2004 Elsevier Ireland Ltd. All rights reserved.
Cate of OECD: Clinical medicine
Year of Publication: 2004
Business Area: casino
Detail Business: casino
Country: Ireland
Study Area: prediction, prediction, patient, risk
Name of Journal: RESUSCITATION
Language: English
Country of Authors: Univ Sao Paulo, Sch Med, Valvular Heart Dis Unit, InCor, BR-05403000 Sao Paulo, SP, Brazil; Univ Arizona, Coll Med, Dept Med, Sarver Heart Ctr, Tucson, AZ USA
Press Adress: Bento, AM (reprint author), Univ Sao Paulo, Sch Med, Valvular Heart Dis Unit, InCor, Av Eneas Carvalho Aguiar,44, BR-05403000 Sao Paulo, SP, Brazil.
Email Address: andrebento@cardiol.br
Citaion:
Funding:
Lists of Citation: American Heart Association in Collaboration with the International Liaison Committee on Resuscitation (ILCOR), 2000, RESUSCITATION, V46, P1; AUBLE TE, 1995, ANN EMERG MED, V25, P642, DOI 10.1016/S0196-0644(95)70178-8; BEDELL SE, 1983, NEW ENGL J MED, V309, P569, DOI 10.1056/NEJM198309083091001; Caffrey SL, 2002, NEW ENGL J MED, V347, P1242, DOI 10.1056/NEJMoa020932; CUMMINS RO, 1984, LANCET, V2, P318; DALZELL GW, 1991, BRIT HEART J, V65, P331; EISENBERG M, 1979, AM J PUBLIC HEALTH, V69, P30; EISENBERG MS, 1980, NEW ENGL J MED, V302, P1379, DOI 10.1056/NEJM198006193022502; FLETCHER GF, 1977, JAMA-J AM MED ASSOC, V238, P2627; HASKELL WL, 1978, CIRCULATION, V57, P920; Herlitz J, 1997, RESUSCITATION, V34, P17, DOI 10.1016/S0300-9572(96)01064-7; Herlitz J, 2001, RESUSCITATION, V48, P125, DOI 10.1016/S0300-9572(00)00249-5; Hossack KF, 1982, J CARDIAC REHABIL, V2, P402; Karch SB, 1998, AM J EMERG MED, V16, P249, DOI 10.1016/S0735-6757(98)90094-8; KAYE W, 1995, ANN EMERG MED, V25, P163, DOI 10.1016/S0196-0644(95)70318-7; Kaye W, 1996, RESUSCITATION, V31, P181, DOI 10.1016/0300-9572(95)00941-8; KERBER RE, 1979, CIRCULATION, V60, P226; LIU JCZ, 1999, RESUSCITATION, V41, P113; Martinez-Rubio A, 2003, J AM COLL CARDIOL, V41, P627, DOI 10.1016/S0735-1097(02)02865-6; Mattioni TA, 1999, PACE, V22, P1648, DOI 10.1111/j.1540-8159.1999.tb00385.x; Niskanen R A, 1997, New Horiz, V5, P137; Page RL, 2000, NEW ENGL J MED, V343, P1210, DOI 10.1056/NEJM200010263431702; The American Heart Association in Collaboration with the International Liaison Committee on Resuscitation, 2000, CIRCULATION, V102, P1; Thel MC, 1999, AM HEART J, V137, P39, DOI 10.1016/S0002-8703(99)70458-8; Valenzuela TD, 2000, NEW ENGL J MED, V343, P1206, DOI 10.1056/NEJM200010263431701; WEAVER WD, 1988, NEW ENGL J MED, V319, P661, DOI 10.1056/NEJM198809153191101; WINKLE RA, 1990, CIRCULATION, V81, P1477
Number of Citaion: 27
Publication: ELSEVIER SCI IRELAND LTD
City of Publication: CLARE
Address of Publication: CUSTOMER RELATIONS MANAGER, BAY 15, SHANNON INDUSTRIAL ESTATE CO, CLARE, IRELAND
ISSN: 0300-9572
29-Character Source Abbreviation: RESUSCITATION
ISO Source Abbreviation: Resuscitation
Volume: 63
Version: 1
Start of File: 11
End of File: 16
DOI: 10.1016/j.resuscitation.2004.04.005
Number of Pages: 6
Web of Science Category: Critical Care Medicine; Emergency Medicine
Subject Category: General & Internal Medicine; Emergency Medicine
Document Delivery Number: 861UP
Unique Article Identifier: WOS:000224444400003
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