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Critical Care
Published in: Critical Care 1/2004

01-02-2003 | Commentary

Time-dependent interventions

Authors: Max Harry Weil, Wanchun Tang

Published in: Critical Care | Issue 1/2004

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Abstract

The contribution by Pepe and colleagues provides additional evidence that initial defibrillation is not necessarily the optimal intervention for victims of cardiac arrest and especially when cardiac arrest has been untreated for more than 3 min. Precordial compression therefore remains the mainstay of basic life support cardiopulmonary resuscitation after sudden death. It is increasingly apparent that neither epinephrine whether in conventional or high doses nor vasopressin improve ultimate survival. To the contrary, there is evidence favoring β1-adrenergic blockade.
Literature
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Pepe PE, Fowler RL, Roppolo LP, Wigginton JG: Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation. Crit Care 2003, in press.
2.
Tang W, Weil MH, Sun S, Yamaguchi H, Povoas HP, Marn Pernat A, Bisera J: The effects of biphasic and conventional monophasic defibrillation on postresuscitation myocardial function. J Am Coll Cardiol 1999, 34: 815-822. 10.1016/S0735-1097(99)00270-3PubMedCrossRef
3.
Tang W, Weil MH, Sun S, Povoas HP, Klouche K, Kamohara T, Bisera J: A comparison of biphasic and monophasic waveform defibrillation after prolonged ventricular fibrillation. Chest 2001, 120: 948-954. 10.1378/chest.120.3.948PubMedCrossRef
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Metadata
Title
Time-dependent interventions
Authors
Max Harry Weil
Wanchun Tang
Publication date
01-02-2003
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2004
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc2395

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