Key result
A single 400 wsec shock successfully resuscitated a 190.1 kg man after prolonged ventricular fibrillation, suggesting weight is not a significant factor requiring higher-energy defibrillators.
Why the study?
Is a standard 400 wsec shock sufficient for successful defibrillation in a markedly overweight patient with ventricular fibrillation?
Population
A man weighing 190.1 kg (418.2 lb) with a prolonged episode of ventricular fibrillation (n=1)
Design
Case_report
Authors
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May support standard-energy defibrillation in morbid obesity; leaves open need for prospective validation on weight-based dosing.
Case Report (n=1)
Is a standard 400 wsec shock sufficient for successful defibrillation in a markedly overweight patient with ventricular fibrillation?
A standard 400 wsec shock was sufficient to successfully defibrillate a markedly overweight patient, challenging recommendations for higher-energy defibrillators.
DeSilva et al. (1978) conducted a case report in Ventricular fibrillation (n=1). Defibrillation was evaluated on Successful resuscitation. A single 400 wsec shock successfully resuscitated a 190.1 kg man after prolonged ventricular fibrillation, suggesting weight is not a significant factor requiring higher-energy defibrillators.
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