Defibrillation is the recommended 1st line of treatment for vfib/pVT to reset the heart from its quivering motion. if it is refractory after 2 attempts. Epi is given every 3-5 mins. If still refractory after 3 attempts, amiodarone 300 mg is given.
Refractory ventricular fibrillation (vfib) is a challenging condition with scant evidence for effective therapies. This article takes a deep dive into the management of refractory ventricular fibrillation, looking at all the evidence to date.
Defibrillation is the recommended 1st line of treatment for vfib/pVT to reset the heart from its quivering motion. if it is refractory after 2 attempts. Epi is given every 3-5 mins. If still refractory after 3 attempts, amiodarone 300 mg is given.
Class III: AMIODARONE, dronedarone, sotalol, ibutilide, dofetilide Drug of 2nd choice (vs amiodarone) to terminate VTach and prevent VFib after DC
If the patient remains in persistent VFib following the initial defibrillator shock and the first dose of epi, the next medication to be given is amiodarone at
Pediatric Dosage of Amiodarone. When using amiodarone to treat VFib or pulseless V-tach, a first dose will be 5mg/kg via IV or IO push. This dose may be repeated 1-2 times for refractory VFib or pulseless V-tach. For life threatening arrhythmias, a maximum accumulated dose is 2.2 grams via IV or IO over a 24-hour period.
amiodarone or lidocaine is not effective for refractory VFib. While refractory ventricular fibrillation: the DOSE VF pilot
Indication: For shock refractory and/or amiodarone refractory VT/VF Dose: Adults: Frequency: Bolus initial dose, consider a second dose after
High-dose epinephrine is Amiodarone or lidocaine may be consideration to Vfib/pulseless Vtach that is unresponsive to defibrillation.
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