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Effect of Defibrillation Energy Dose During In-Hospital Pediatric Cardiac Arrest
PA Meaney, VM Nadkarni, DL Atkins, MD Berg... - Pediatrics, 2011 - Am Acad Pediatrics RESULTS Of 266 children with 285 events, 173 of 285 (61%) survived the event and 61 of 266
(23%) survived to discharge. Termination of fibrillation after initial shock was achieved for 152
of 285 (53%) events. Termination of fibrillation with 2 10 J/kg was much less frequent ...
RESULTS: Of 266 children with 285 events, 173 of 285 (61%) survived the event and 61 of 266 (23%) survived to discharge. Termination of fibrillation after initial shock was achieved for 152 of 285 (53%) events. Termination of fibrillation with 2 ± 10 J/kg was much less frequent than that seen among historic control subjects (56% vs 91%; P < .001), but not different than 4 J/kg. Compared with 2 J/kg, an initial shock dose of 4 J/kg was associated with lower rates of return of spontaneous circulation (odds ratio: 0.41 [95% confidence interval: 0.21–0.81]) and event survival (odds ratio: 0.42 [95% confidence interval: 0.18–0.98]).
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Effect of Defibrillation Energy Dose During In-Hospital Pediatric Cardiac Arrest |
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