DEFIBRILLATOR

Mr. VISHNU CHANDRA BABU

DEFINITION

Defibrillation is a process in which an electronic device sends an electric shock to the heart to stop an extremely rapid, irregular heartbeat, and restore the normal heart rhythm.

PURPOSE
Defibrillation is performed to correct life-threatening fibrillations of the heart, which could result in cardiac arrest. It should be performed immediately after identifying that the patient is experiencing a cardiac emergency, has no pulse, and is unresponsive.

DEFIBRILLATOR

PARTS OF A DEFIBRILLATOR
PADDLES

OTHER PARTS

INDICATIONS

PULSELESS VENTRICULAR TACHYCARDIA VENTRICULAR FIBRILLATION

NORMAL SINUS RHYTHM

PULSELESS VENTRICULAR TACHYCARDIA

No pulse

TORSADES DE POINTES

VENTRICULAR FIBRILLATION

TYPES OF DEFIBRILLATOR

MONOPHASIC BI PHASIC

MONOPHASIC
CURRENT TRAVELS ONLY IN ONE DIRECTION

MAXIMUM JOULES 360J USUALLY NOT PREFERRED NOW AS IT CAUSES MYOCARDIAL DAMAGE

BIPHASIC
CURRENT TRAVELS IN TWO DIRECTIONS MAXIMUM JOULES WHICH CAN BE GIVEN IS 200 J

MOST PREFERRED

OTHER MODES

MANUAL MODE AED MODE

CARDIOVERSION

The AED Unit

Contains a battery and is portable Unit has 2 pads connected to it with cables Pads are placed on victims chest Unit analyzes victims heart and advises whether to give a shock

How AEDs Work

Automatically checks victims heart rhythm to detect fibrillation Advises whether victim needs a shock The shock (defibrillation) may return heart to a more normal rhythm

AUTOMATED EXTERNAL DEFIBRILLATION

Apply pads to chest.

Stand clear.

Follow prompts.

CARDIOVERSION
INDICATED FOR REENTRY RHYTHMS SHOCK SYNCHRONIZED WITH THE R WAVE OF ECG USUALLY IT IS AN ELECTIVE PROCEDURE LOW JOULES FROM 50 TO 150J IS USED

POSITION OF PADDLES

ALTERNATE PLACEMENTS

HOW TO SELECT ENERGY

THINKING TIME

FORMULA FOR JOULE CALCULATION

IT IS 2 TO 4 JOULE PER KILOGRAM(BODY WEIGHT)

PRECAUTIONS

 DO NOT TOUCH THE PATIENT WHILE YOUR GIVING SHOCK IF WATER IS PRESENT WIPE IT WITH DRY CLOTH AND THEN ONLY GIVE SHOCK IF CHEST IS HAIRY,TRIM HAIR OR SHAVE DO NOT GIVE ON HAIRY CHEST IF THERE IS PRESENCE OF A MEDICATION PATCH ,REMOVE IT AND THEN GIVE SHOCK IF THERE IS A AICD OR PACEMAKER PLACE PADDLES ONE INCH AWAY FROM THE NORMAL SITE AND NEVER ON TOP OF IT MAKE SURE THE PATIENT IS NOT LYING ON A CONDUCTIVE SURFACE

COMPLICATIONS
BURNS MYOCARDIAL DAMAGE EMBOLI FORMATION WORSENING OF ARRYTHMIAS REFRACTORY RHYTHMS PULMONARY ODEMA RARE