Electrical defibrillation
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Accession number;04A0334420
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| Title;Electrical defibrillation |
| Author;
OISHI YASUO
(Osaka-Fu Mishima Kyumei Kyukyu Senta)
MORITA HIROSHI
(Osaka-Fu Mishima Kyumei Kyukyu Senta)
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Journal Title;Clinic All-round
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Journal Code:Z0697A
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ISSN:0371-1900
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VOL.53;NO.;PAGE.718-721(2004)
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| Figure&Table&Reference;FIG.5, REF.4 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The means for returning to equal pulse by running electric direct current for ventricular fibrillation and acrotism ventricular tachycardia is called electrical defibrillation. The means for returning to sinus rhythm by energization for other tachyarrhythmia (auricular fibrillation, etc.) is called cardioversion (CV). In Japan, implementation of the defibrillation by paramedics, without concrete indication of a doctor became possible since 2003. The description was made in the following order : 1) Significance, 2) Adaptation, 3) Contraindication (There is no absolute contraindication. Digitalis intoxication and frequent pulse diseases, etc. as a relative contraindication of CV), 4) complications (systemic embolism and sinus arrest for seconds right after the defibrillation, etc. though they are rare), 5) Instrument (cardiac defibrillator and paddle), 6) Procedures for treatments (Electrical defibrillation : There is the emergence for preparing a cardiac defibrillator while performing the cardiopulmonary resuscitation. CV : There is almost no emergence, automatic external defibrillator : Procedure is illustrated.), 7) point advice (Elelctrical defibrillation : Rapidity, The paddle is not separated from the parapet. CV : The paddle should not be separated from the parapet until the confirmation of energization since a time difference to the energization may be produced. 8) Single phase cardiac defibrillator and two-phase cardiac defibrillator. |
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