Abstract:
:Transthoracic direct current shock is the recommended treatment for ventricular fibrillation in children as in adults. To determine the appropriate energy dose, data were collected from 71 defibrillation attempts in 27 children. Sixty-three of the 71 shocks (89%) were successful in terminating fibrillation. Fifty-seven shocks were within 10 watt-seconds (w-sec) above or below an energy dose of 2 w-sec/kg of body weight. Fifty-two (91%) of these were effective and five (9%) were ineffective. In every case, fibrillation was ultimately terminated by a shock of 4 w-sec/kg or less. The results of these studies suggest that an energy dose of 2 w-sec/kg (or approximately 1 w-sec/lb) is adequate to defibrillate most children weighing under 50 kg. We currently use 2 w-sec/kg and double the energy dose if the first defibrillation attempt is unsuccessful.
journal_name
Pediatricsjournal_title
Pediatricsauthors
Gutgesell HP,Tacker WA,Geddes LA,Davis S,Lie JT,McNamara DGsubject
Has Abstractpub_date
1976-12-01 00:00:00pages
898-901issue
6eissn
0031-4005issn
1098-4275journal_volume
58pub_type
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