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Learn MoreMonophasic versus biphasic waveforms. With a monophasic waveforms, current flows in one direction, from one electrode to the other, stopping the heart so it has the chance to re-start on its own. Biphasic defibrillation alternates the direction of the pulses, completing one cycle in approximately 12 milliseconds. Biphasic defibrillation was originally developed and used for implantable.
Learn MoreThe purpose of the present study was to examine the effects of monophasic and biphasic stimulation under conditions of full and incomplete repolarization in an in vivo dog model and in an in vitro.
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Learn MoreA total of 317 papers were identified of which 4 appeared relevant. Relevant Paper(s) Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses; Greene HL et al, 1995, USA: 171 patients undergoing electrophysiological studies for ventricular arrhythmias with induced VT and VF requiring external defibrillation. Monophasic vs biphasic: PRCT.
Learn MoreThe trial sought to refute the null hypothesis of therapeutic equivalence between monophasic and biphasic waveforms. Results of the study reveal similar cumulative efficacy of waveforms and greater levels of skeletal muscle damage when patients are younger and male, and when monophasic waveforms are used.
Learn MoreElectrical cardioversion (CV) of patients with atrial fibrillation (AF) is a current practice. Recent data suggest that biphasic waveform shocks are more effective than monophasic ones for transthoracic CV, but the optimal protocol has not been defined.
Learn MoreScholten and colleagues have shown that biphasic and monophasic shocks are of similar efficacy in achieving sinus rhythm but at a lower energy level with biphasic waveform. 1 In this sense the study’s outcome is similar to that of the study reported by Page and colleagues, 2 who showed that for cardioversion of atrial fibrillation (AF), “a biphasic shock waveform has greater efficacy.
Learn MoreFour dosing regimens (monophasic, biphasic, triphasic and quadriphasic) have been introduced. These dosing regimens provide different hormonal doses at different stages of menstrual cycle. The 28.
Learn MoreOBJECTIVE: Biphasic defibrillation is more effective than monophasic one in controlled in-hospital conditions. The present review evaluated the performance of both waveforms in the defibrillation of patients of out-of-hospital cardiac arrest (OHCA) with initial ventricular fibrillation (Vf) rhythm under the context of current recommendations for cardiopulmonary resuscitation.
Learn MoreMonophasic versus biphasic defibrillation for pediatric out-of-hospital cardiac arrest patients: a nationwide population-based study in Japan Critical Care, Nov 2012 Seizan Tanabe, Hideo Yasunaga, Soichi Koike, Manabu Akahane, Toshio Ogawa, Hiromasa Horiguchi, Tetsuo Hatanaka, Hiroyuki Yokota, Tomoaki Imamura.
Learn MoreThe biphasic defibrillators used in this study defibrillate with less current for two reasons. First, at the impedances typically seen with epicardial defibrillation, these biphasic defibrillators deliver approximately 30% less current than monophasic defibrillators at the same energy setting. Second, biphasic shocks defibrillate with less energy.
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