Pulseless ventricular tachycardia interventions: Difference between revisions
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==Defibrillation<ref name="urlWhat are the treatment options for pulseless ventricular tachycardia (VT)?">{{cite web |url=https://www.medscape.com/answers/159075-67727/what-are-the-treatment-options-for-pulseless-ventricular-tachycardia-vt |title=What are the treatment options for pulseless ventricular tachycardia (VT)? |format= |work= |accessdate=}}</ref><ref name="pmid32119354">{{cite journal |vauthors=Foglesong A, Mathew D |title= |journal= |volume= |issue= |pages= |date= |pmid=32119354 |doi= |url=}}</ref>== | |||
*As opposed to other unstable Ventricular tachycardias, PVT should be managed with '''immediate defibrillation'''. A high energy defibrillator (150-200 J on biphasic and 360 J on monophasic) should be used for the initial shock dose, followed by an equal or higher shock dose for successive shocks | *As opposed to other unstable Ventricular tachycardias, PVT should be managed with '''immediate defibrillation'''. A high energy defibrillator (150-200 J on biphasic and 360 J on monophasic) should be used for the initial shock dose, followed by an equal or higher shock dose for successive shocks | ||
*5 CPR cycles each containing 30 chest compressions and 2 breaths should be done after the first shock is delivered. Each subsequent shock should be followed by airway management with Oxygen delivery, and IV access with vasopressors. | *5 CPR cycles each containing 30 chest compressions and 2 breaths should be done after the first shock is delivered. Each subsequent shock should be followed by airway management with Oxygen delivery, and IV access with vasopressors. | ||
==References== | ==References== | ||
Revision as of 15:54, 14 June 2020
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Pulseless ventricular tachycardia Microchapters |
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Differentiating Pulseless ventricular tachycardia from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulseless ventricular tachycardia interventions On the Web |
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American Roentgen Ray Society Images of Pulseless ventricular tachycardia interventions |
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Risk calculators and risk factors for Pulseless ventricular tachycardia interventions |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aisha Adigun, B.Sc., M.D.[2]
Overview
Immediate defibrillation is the main intervention for pVT.
Defibrillation[1][2]
- As opposed to other unstable Ventricular tachycardias, PVT should be managed with immediate defibrillation. A high energy defibrillator (150-200 J on biphasic and 360 J on monophasic) should be used for the initial shock dose, followed by an equal or higher shock dose for successive shocks
- 5 CPR cycles each containing 30 chest compressions and 2 breaths should be done after the first shock is delivered. Each subsequent shock should be followed by airway management with Oxygen delivery, and IV access with vasopressors.