Document Detail


Automated external defibrillation in cardiac surgery.
MedLine Citation:
PMID:  12458072     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Revision open heart surgery may be impeded by a dense network of pericardial adhesions rendering cardiac mobilization laborious or incomplete, and internal defibrillation impossible. External defibrillation, the current alternative to internal defibrillation, may result in myocardial stunning secondary to the delivery of escalating, monophasic, high-energy shocks. Automated external defibrillation, by delivering consecutive, non-escalating, impedance-compensated, low-energy, biphasic electric shocks to the myocardium, may provide a more effective and safer option whilst reducing the risk of myocardial stunning.
Authors:
A L Knaggs; K T Delis; K G Spearpoint; D A Zideman
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  55     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-29     Completed Date:  2003-06-24     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  341-5     Citation Subset:  IM    
Affiliation:
Department of Anaesthetics, St. Mary's Hospital, 4th Floor QEQM Wing, Praed Street, Paddington, London W2 1NY, UK. akotow@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Valve / surgery*
Cardiopulmonary Bypass
Electric Countershock / methods*
Female
Heart Valve Diseases / surgery*
Humans
Intraoperative Care
Postoperative Complications
Rewarming / adverse effects
Ventricular Fibrillation / etiology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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