Current defibrillators are capable of delivering 2 modes of shock: synchronized and unsynchronized. Synchronized shocks are lower dose and used for cardioversion. Unsynchronized shocks are higher dose and used for defibrillation.
Pediatric cardiology consultation is recommended for all infants with a tachyarrhythmia. Cardioversion synchronized cardioversion Unstable patients with tachyarrhythmias who have a perfusing rhythm but evidence of poor perfusion, heart failure, or hypotension signs of cardiovascular compromise.
Examples of tachyarrhythmias are: Tachycardia supraventricular tachycardia [SVT] or ventricular tachycardia [VT] with a pulse and poor perfusion. Supraventricular tachycardia with shock and no vascular access.
Atrial flutter with shock. Atrial fibrillation with shock very rare in infants. Elective cardioversion in infants with stable SVT, VT, or atrial flutter good tissue perfusion and pulses unresponsive to other treatments. This is always done under the close supervision of a pediatric cardiologist. Sedation and a lead electrocardiogram are recommended before cardioversion. Defibrillation asynchronized. Used in pulseless arrest with a shockable rhythm VT and ventricular fibrillation.
It is used in between cardiopulmonary resuscitation CPR and not used in asystole or pulseless electrical activity PEA. The most common cause of a ventricular arrhythmia in a neonate is electrolyte imbalance. Defibrillation will not stop the arrhythmia in these patients. Defibrillation is the most effective treatment for ventricular fibrillation and pulseless ventricular tachycardia. External standard defibrillator manual or semiautomated and 2 paddles of the correct sizes with conductive pads.
For infants, use the smallest size usually measuring 4. It is important to be familiar with your institution's equipment because there are many different types and models of machines.
Pediatric-capable automatic external defibrillators adult-automated external defibrillators with energy reducer pads can be used for infants. Other equipment. From memory the old ARC Guidelines used to state that we do not defibrillate infants under 1 year. What is your knowledge and opinion on this? The current recommendation of the ARC is that when no manual dial up a per kilo energy level defib is available, the next best option is an AED with paediatric pads or an attenuation key, and the last best option is to use the adult AED.
A cardiac arrest in an infant under one year, outside hospital, is very rare. That means, chances are that even if you used an adult AED on an infant, 9 times out of 10, no shock by the AED will be recommended.
It didn't answer any of my questions. I still don't know what to do next. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions. Patient Education. Getting started Babies and children are more likely to have cardiac arrest because of a lung or airway problem instead of a heart problem.
Step 1. Check if your baby can respond Tap or gently shake your baby. If your baby does not respond, is not breathing, or is gasping for breath, do the following: If someone is with you, have that person call Step 2.
Begin chest compressions Lay your baby on his or her back on a firm surface. Step 3. Give one more rescue breath. Step 4. Call After 2 minutes of chest compressions and rescue breathing, call ,if it has not already been called. Step 5. Using the AED Make sure you are in a dry area. If not, move the baby to a dry area with a firm surface. If needed, dry the baby's chest. Turn on the AED. Yes No. Tell us more. Last question: How confident are you filling out medical forms by yourself?
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