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Advances in defibrillation

Deakin, Charles D

Current Opinion in Critical Care: June 2011 - Volume 17 - Issue 3 - p 231–235
doi: 10.1097/MCC.0b013e32834697bf
Cardiopulmonary resuscitation: Edited by Jerry Nolan

Purpose of review The place of defibrillation in the chain of survival is paramount and this review covers advances in this aspect of resuscitation over the past 18 months.

Recent findings The main advance is the publication of 2010 European Resuscitation Council guidelines of which defibrillation is a key aspect. Additionally, there have been a number of important articles discussing safety issues with defibrillation, the occurrence of refibrillation following successful cardioversion, prediction of shock success and changes in transthoracic impedance with sequential defibrillation shocks.

Summary The focus of these articles is to improve the delivery of defibrillation without interrupting chest compression and aiming to do so at an optimal stage of the resuscitation attempt.

Southampton University Hospital NHS Trust, Southampton, UK

Correspondence to Charles D. Deakin, MA, MD, FRCP, FRCA, FERC, Consultant in Cardiac Anaesthesia and Critical Care, Southampton University Hospital NHS Trust, Tremona Road, Southampton, SO16 6YD, UK Tel: +44 2380 796135; fax: +44 2380 794348; e-mail:

© 2011 Lippincott Williams & Wilkins, Inc.