Key result
A damped sine wave defibrillator can deliver a preselected peak current with a variation of about +/- 6% to 95% of a normal patient population, expending less energy than conventional defibrillators.
Why the study?
Does a constant peak current defibrillator design improve the consistency of peak current delivery across varying thoracic impedances compared to conventional defibrillators?
Does a constant peak current defibrillator design improve the consistency of peak current delivery across varying thoracic impedances compared to conventional defibrillators?
A novel defibrillator design using excess energy storage and dumping can theoretically deliver a constant peak current across varying patient impedances with lower energy expenditure.
May support constant-current defibrillator designs; hypothesis-generating pending randomized outcome trials.
A damped sine wave defibrillator that is capable of delivering a constant peak discharge current over a wide range of patient thoracic impedance is shown to be theoretically possible. This is realized in practice by the technique of storing an amount of energy above that required for delivery, and dumping the excess charge when the discharge current has reached a predetermined level, the dumping being triggered by a current sensor. A larger than normal inductance assists in swamping the effect of varying impedance and produces a smooth waveform. The preselected peak current can be delivered with a variation of about +/- 6% to 95% of a normal patient population. The energy expended in a simulated patient circuit is somewhat lower than for conventional defibrillators.
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Machin et al. (1990) studied this question. Constant peak current defibrillator vs. Conventional defibrillators was evaluated on Peak current delivery variation and energy expended. A damped sine wave defibrillator can deliver a preselected peak current with a variation of about +/- 6% to 95% of a normal patient population, expending less energy than conventional defibrillators.
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