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Predicting the Success of Defibrillation and Cardiopulmonary Resuscitation

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Intensive and Critical Care Medicine

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Abstract

Ventricular fibrillation (VF) remains the primary rhythm in many instances of sudden cardiac death, and defibrillation by electrical counter-shock represents the treatment of choice for this otherwise lethal arrhythmia. There is no doubt that the duration of VF remains one of the principal determinants for the likelihood of successful defibrillation. When the interval between the estimated onset of VF and the delivery of the first shock is less than 5 min, there is evidence that an immediate electrical shock would be successful [1]. When the duration of untreated VF exceeds 5 min, however, both human and animal studies demonstrate that initial CPR, with chest compression, prior to delivery of a defibrillation attempt, improves the likelihood of restoration of spontaneous circulation (ROSC) [2, 3].

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Author information

Authors and Affiliations

  1. Weil Institute of Critical Care Medicine, Rancho Mirage, CA, USA

    G. Ristagno

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  1. G. Ristagno
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Editors and Affiliations

  1. Department and School of Anesthesia and Intensive Care, Catania School of Medicine and University-Hospital, Catania, Italy

    Antonino Gullo

  2. Department of Anesthesiology, Keck Medical School, Los Angeles, CA, USA

    Philip D. Lumb

  3. Department of Critical Care Medicine, Hospital Centro Medico de Caracas, Caracas, Venezuela

    José Besso

  4. World Federation of Critical Care Nurses C/-Nursing Administration, Gold Coast Health, Southport, Queensland, Australia

    Ged F. Williams

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© 2009 Springer-Verlag Italia

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Ristagno, G. (2009). Predicting the Success of Defibrillation and Cardiopulmonary Resuscitation. In: Gullo, A., Lumb, P.D., Besso, J., Williams, G.F. (eds) Intensive and Critical Care Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-1436-7_15

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  • DOI: https://doi.org/10.1007/978-88-470-1436-7_15

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1435-0

  • Online ISBN: 978-88-470-1436-7

  • eBook Packages: MedicineMedicine (R0)

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