Author:
Katzenschlager Stephan,Heck Raphael,Popp Erik,Weilbacher Frank,Weigand Markus A.,Eisner Christoph,Neuhaus Christopher
Abstract
Abstract
Background
Double sequential external defibrillation (DSED) has demonstrated increased survival with good neurological outcome in a recent randomized controlled trial. DSED has not been studied in patients with extracorporeal cardiopulmonary resuscitation (eCPR).
Case
We present the first case of prehospital eCPR with ongoing refractory ventricular fibrillation (VF), terminated by DSED. After six shocks, return of spontaneous circulation was initially achieved; however, the patient went into recurrent VF. ECPR was performed prehospital, with VF still refractory after three more shocks. DSED successfully terminated VF and showed a further increase in etCO2 and near-infrared spectroscopy cerebral oximetry values.
Conclusion
DSED can be a sufficient strategy for patients in refractory VF while on eCPR and should be evaluated in further studies.
Funder
Universitätsklinikum Heidelberg
Publisher
Springer Science and Business Media LLC
Cited by
1 articles.
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1. Heparin;Reactions Weekly;2023-11-18