Transthoracic defibrillation: Does electrode adhesive pad position alter transthoracic impedance?

Resuscitation

Volumn 37, Issue 3, 1998, Pages 139-143

  Garcia, Lawrence A ^a   Kerber, Richard E ^a  

^a UNIVERSITY OF IOWA HOSPITALS AND CLINICS   (United States)

Author keywords

Defibrillation; Electrodes; Transthoracic impedance

Indexed keywords

ADULT; AGED; ARTICLE; BODY SURFACE; CLINICAL ARTICLE; CLINICAL TRIAL; DEFIBRILLATION; ELECTRIC CURRENT; ELECTRODE; FEMALE; HEART VENTRICLE FIBRILLATION; HUMAN; IMPEDANCE; MALE; MEASUREMENT; PRIORITY JOURNAL; THORAX;

ADULT; AGED; ANALYSIS OF VARIANCE; ELECTRIC CONDUCTIVITY; ELECTRIC COUNTERSHOCK; ELECTRIC IMPEDANCE; ELECTRODES; FEMALE; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; SENSITIVITY AND SPECIFICITY; THORAX; VENTRICULAR FIBRILLATION;

EID: 0032102690     PISSN: 03009572     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0300-9572(98)00050-1     Document Type: Article

References (16)

1. [1] Kerber RE, Grayzel J, Hoyt R, Marcus M, Kennedy J. Transthoracic resistance in human defibrillation: influence of body weight, chest size, serial shocks, paddle size and paddle contact pressure. Circulation 1981;63:676-82.
2. [2] Connell PN, Ewy GA, Dahl F, Ewy D. Transthoracic impedance to defibrillator discharge. Effect of electrode size and electrode-chest wall interface. J Electrocardiol 1973;6:313-7.
3. [3] American Heart Association guidelines for CPR and emergency cardiac care. J Am Med Assoc 1992;268:2171-302.
4. [4] Kerber RE, Jensen SR, Grayzel J, Kennedy J, Hoyt R. Elective cardioversion: Influence of paddle-electrode location and size on success rates and energy requirements. New Engl J Med 1981;305:658-62.
5. [5] Kerber RE, Martins JB, Kelly K, Ferguson DW, Jensen S, Newman B, Parke JD, Kieso R, Melton J. Self-adhesive pre-applied electrode pads for defibrillation and cardioversion. J Am Coll Cardiol 1984;3:815-20.
6. [6] Weisfeldt M, Kerber RE, McGoldrick RP, Moss AJ, Nichol G, Ornato JP, Palmer DG, Reigel B, Smith SC. American Heart Association report on the public access defibrillation conference. Circulation 1995;92:2740-7.
7. [7] Geddes LA, Tacker WA, Schoenlein W, Mitton M, Grubbs S, Wilcox P. The prediction of the impedance of the thorax to defibrillating current. Med Instrum 1976;10:159-62.
8. [8] Kerber RE, Kouba C, Martins JB, Kelly K, Low R, Hoyt R, Ferguson D, Bailey L, Bennett P, Charbonnier F. Advance prediction of transthoracic impedance in human defibrillation and cardioversion: importance of impedance in determining the success of low-energy shocks. Circulation 1984;70:303-8.
9. [9] Tarren DS, Ewy GA. Relative contribution of paddle electrode area and edge length to transthoracic impedance from a DC defibrillator discharge. Med Instrum 1979;13:183-4.
10. [10] Dahl CF, Ewy GA, Warner ED, Thomas ED. Myocardial necrosis from direct current countershock: Effect of paddle electrode size and time interval between discharges. Circulation 1974;50:956-61.
11. [11] Geddes LA, Tacker W, Cabler D, Chapman R, Rivera R, Kedder H. The decrease in transthoracic impedance during successive ventricular defibrillation trials. Med Instrum 1975;9:179-80.
12. [12] Sirna SJ, Ferguson DW, Charbonnier F, Kerber RE. Electrical cardioversion in humans: factors affecting transthoracic impedance. Am J Cardiol 1988;62:1048-52.
13. [13] Lown B. Electrical reversion of cardiac arrhythmias. Br Heart J 1967;29:469-89.
14. [14] Resnekov L, McDonald L. Appraisal of electroversion and treatment of cardiac dysrhythmias. Br Heart J 1968;30:786-811.
15. [15] American Heart Assocation Textbook of Advanced Cardiac Life Support, 3rd ed. Dallas, TX: AHA, 1994.
16. [16] Lerman BB, Deale OS. Relation between transcardiac and transthoracic current during defibrillation in humans. Circ Res 1990;67:1420-6.