External Defibrillator Damage Associated With Attempted Synchronized Dual-Dose Cardioversion
External Defibrillator Damage Associated With Attempted Synchronized Dual-Dose Cardioversion
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DOI：
10.1016/j.annemergmed.2017.04.005
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发表时间：
2018-01-01
影响因子：
6.2
通讯作者：
Schulman, Peter M.
中科院分区：
文献类型：
--
作者：
Gerstein, Neal S.;McLean, A. Robb;Schulman, Peter M.
在院外和院内环境中，同时使用2台体外复律器进行双重或序贯复律或除颤治疗难治性心律失常的情况越来越多。使用2个除颤器来管理比单个除颤器所能达到的更高的能量水平被认为是标签外的，目前不是已发布的高级心脏生命支持指南的一部分。我们报告了第一例使用双剂量心脏复律与体外除颤器损伤相关的病例。由于除颤器损坏，特别是如果未被检测到，危及患者安全和标签外医疗产品的使用可能会使制造商的保修无效，这种情况下应敦促用户在考虑这种技术时谨慎行事。
The simultaneous use of 2 external defibrillators to administer either dual or sequential cardioversion or defibrillation for refractory cardiac arrhythmias is increasing in both the out-of-hospital and inhospital settings. Using 2 defibrillators to administer higher energy levels than can be achieved with a single defibrillator is considered off-label and is currently not part of published advanced cardiac life support guidelines. We report the first case in which the use of dual-dose cardioversion was associated with external defibrillator damage. Because defibrillator damage, especially if undetected, jeopardizes patient safety and off-label medical product use may void the manufactures warranty, this case should urge users to proceed with caution when contemplating this technique.