Double - Single-phase wave defibrillation therapy systematic evaluation of pre-hospital ventricular fibrillation.docVIP

 PAGE \* MERGEFORMAT 23 Double / Single-phase wave defibrillation therapy systematic evaluation of pre-hospital ventricular fibrillation [Abstract] Objective To assess the biphasic and monophasic defibrillation shock wave treatment of the effect of pre-hospital ventricular fibrillation. Methods We searched with hand searching to include pre-hospital ventricular fibrillation occurs in patients with double / single-phase wave transthoracic defibrillator defibrillation randomized controlled trials (RCT), and in accordance with the method recommended by Cochrane Collaboration systematic evaluation. Results Total RCT5 articles, including 552 patients. Meta analysis showed biphasic truncated exponential wave damping than the single-phase defibrillator for the first time sine defibrillation success rate [RR = 1.09,95% CI (1.01,1.18), P = 0.03] and the recovery rate of cardiac rhythm after cardioversion effective [RR = 0.53,95% CI (0.32,0.87), P = 0.01] greater, the rest showed no significant difference. Conclusion Based on available evidence, that the biphasic waveform defibrillation of VF termination rate is higher, but with truncated exponential biphasic defibrillation shock wave and single-phase damped sine wave compared to the recovery rate of spontaneous circulation, no difference in survival and hospital readmission. by the quality and quantity of original documents the impact analysis of the results of this systematic review there may be some Meta bias, more high-quality RCTs on the results published in the literature further identified. [Keywords:] VF biphasic defibrillation wave system evaluation phase Abstract Objective To review systematically the effect of biphasic and monophasic defibrillators in treating pre-hospital ventricular fibrillation.Methods Computer retrieval and manual retrieval were made to RCT with pre-hospital ventricular fibrillation, by biphasic defibrillator as the intervention group and by monophasic defibrillator as the control