Jul 18, 2002

Adverse outcomes of interrupted precordial compression during automated defibrillation

Circulation
Ting YuJoe Bisera

Abstract

Current versions of automated external defibrillators (AEDs) require frequent stopping of chest compression for rhythm analyses and capacity charging. The present study was undertaken to evaluate the effects of these interruptions during the operation of AEDs. Ventricular fibrillation was electrically induced in 20 male domestic swine weighing between 37.5 and 43 kg that were untreated for 7 minutes before CPR was started. Defibrillation was attempted with up to 3 sequential 150-J biphasic shocks, but each was preceded by 3-, 10-, 15-, or 20-second interruptions of chest compression. The interruptions corresponded to those that were mandated by commercially marketed AEDs for rhythm analyses and capacitor charge. The sequence of up to 3 electrical shocks and delays were repeated at 1-minute intervals until the animals were successfully resuscitated or for a total of 15 minutes. Spontaneous circulation was restored in each of 5 animals in which precordial compression was delayed for 3 seconds before the delivery of the first and subsequent shocks but in none of the animals in which the delay was >15 seconds before the delivery of the first and subsequent shocks. Longer intervals of CPR interventions were required, and there was c...Continue Reading

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  • Citations244

Mentioned in this Paper

Arterial Pulse Pressure
Ophthalmoplegia
Ventricular Fibrillation
Weighing Patient
Myocardial Dysfunction
Basic Cardiac Life Support
Shock
Cardiomyopathies
Anterior Thoracic Region
Chest

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