Anesthesia & Clinical Research
Open Access

Department of Cardiothoracic and Vascular Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, New Delhi, India

Publications

• Review Article   
  Amiodarone in Aortic Root: A Noval Approach to Treat the Refractory Ventricular Fibrillation After Release of Aortic Cross Clamp. A Review
  Author(s): Vishnu Datt*, Datt Diksha, MA Geelani, Divya, Sneha Satya, Suman Keshav and Subodh Satyarthi
  
  Refractory Ventricular Fibrillation (VF) is referred to as VF that persists or reappears after termination despite three successive shocks delivery, 3 mg of epinephrine, and 300 mg of amiodarone, and failure to obtain the Return of Spontaneous Circulation (ROSC) within 10 min and requires multiple Direct Current (DC) shocks. It is rare but a fatal complication after cardiac surgery. VF often occurs after the release of Aortic Cross-Clamp (ACC) in patients undergoing cardiac surgery using Cardiopulmonary Bypass (CPB). In patients with concentric Left Ventricular Hypertrophy (LVH) of severe aortic stenosis, either continuous VF occurs after release of ACC or reverts to sinus rhythm and crops up again and at times difficult to terminate. Persistent VF and repeated monophasic DC shocks can increase myocardial oxygen demand and myocardial injuries. Intravenous slow bol.. View More»
  DOI: 10.35248/2155-6148.24.15.1132

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