Research Article

Transthoracic ventricular defibrillation in adults.

Br Med J 1977; 2 doi: https://doi.org/10.1136/bmj.2.6099.1379 (Published 26 November 1977) Cite this as: Br Med J 1977;2:1379
  1. N P Campbell,
  2. S W Webb,
  3. A A Adgey,
  4. J F Pantridge

    Abstract

    A prospective study of the energy required for transthoracic ventricular defibrillation in adults showed that in 42 (81%) out of 52 episodes of ventricular fibrillation shocks of 100 watt-seconds (Ws) of stored energy were successful. Out of 233 episodes, 222 (95%) were converted by 200 W s shocks. Among patients in whom primary ventricular fibrillation occurred within one hour of the onset of acute myocardial infarction, 200 W s shocks were successful in 40 (98%) out of 41 episodes. When low-energy shocks failed, a stored energy of 400 W s invariably succeeded. The need for large and expensive defibrillators that store more than 400 W s and are less readily available is therefore questioned.