A Study of the Usefulness and Limitations of Electrical Countershock, Cardiac Massage, Epinephrine and Procaine in Cardiac Resuscitation from Ventricular Fibrillation

Autor: Robert E. Miller, Charles W. Frank, George A. Misrahy, Peter Kornfeld, Hsueh-Hwa Wang, René Wégria
Rok vydání: 1953
Předmět:
Zdroj: Circulation. 8:1-14
ISSN: 1524-4539
0009-7322
DOI: 10.1161/01.cir.8.1.1
Popis: The efficacy of electrical countershock, cardiac massage, epinephrine and procaine in stopping ventricular fibrillation and restoring a competent ventricular contraction was studied in anesthetized dogs. It was found that countershock is a reliable means of stopping fibrillation. However, it must be preceded by cardiac massage if not applied promptly after the initiation of fibrillation. Epinephrine helps restore a competent ventricular contraction once fibrillation has been stopped by countershock but it increases the incidence of recurrence of fibrillation. The doses of procaine which constitute a reliable means of stopping fibrillation depress the rhythmicity of the heart to such an extent that the cessation of fibrillation is followed by prolonged periods of cardiac standstill.
Databáze: OpenAIRE