Refractory V Fib Acls

The video below shows an example of what ventricular fibrillation will look like when you see it on the defibrillator monitor.

Refractory v fib acls. 8 although vf appears as a chaotic and disorganized rhythm characteristics of the ventricular fibrillation waveform such as. Ventricular fibrillation or vf sometimes v fib is a condition where there is uncoordinated contraction of the cardiac muscle of the ventricles in the heart. Acls protocol n 22 sympathetic blockade. As the treatments for asystole and ventricular fibrillation are different it is important to differentiate between the two.

5 in vf the etiology of arrest is often attributed to either acute ischemia or non ischemic arrhythmia. Ventricular fibrillation vf or v fib is the most common initial heart rhythm in patients with out of hospital cardiac arrest ohca and the most salvageable one. The appropriate adult cardiac arrest algorithm to use for ventricular fibrillation vf. Ventricular fibrillation is always pulseless and must be confirmed by ekg or defibrillator monitor.

Ventricular fibrillation vf adult acls cardiac arrest algorithm for ventricular fibrillation. Acls cardiac arrest vtach and vfib algorithm perform the initial assessment perform high quality cpr establish an airway and provide oxygen to keep oxygen saturation 94 monitor the victim s heart rhythm and blood pressure if the patient is in vtach or vfib this is a shockable rhythm apply defibrillator pads or paddles and shock the. Assessment of this was done in step one provide breathing 2 breaths allowing the chest to rise each time give each breath over 1 second avoid excessive ventilations. V fib v tach from mitch taylor.

Within acls amiodarone is used for its antiarrhythmic properties and is effective for the treatment of supraventricular arrhythmias and ventricular arrhythmias. Refractory ventricular fibrillation rvf is a life threatening cardiac arrhythmia unresponsive to traditional methods of defibrillation and advanced cardiovascular life support acls. Rfv has been defined as ventricular fibrillation that is resistant to at least three defibrillation attempts. Fine v fib is sometimes mistaken for asystole.

Defibrillation is the treatment of choice and should occur as soon as possible. The mechanism of action for amiodarone s antiarrhythmic properties remains unclear but it continues to be the primary antiarrhythmic medication for the treatment of ventricular fibrillation and ventricular tachycardia within the. If the breath does not go in reposition the head by head tilt chin lift and attempt to deliver 2 breaths.