Pulseless ventricular tachycardia interventions

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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.

References

  1. "What are the treatment options for pulseless ventricular tachycardia (VT)?".
  2. Foglesong A, Mathew D. PMID 32119354 Check |pmid= value (help). Missing or empty |title= (help)


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