Título de la publicación en el blog

¿Qué desfibrilador es mejor?

Definitivo el mejor desfibrilador que podemos tener es el más cercano, sin embargo hay diferentes tipos de desfibriladores por ello hablaremos un poco de los diferentes tipos de terapia eléctrica.

Hay dos tipos de energía. Monofásica y Bifásica.

Desfibrilador Monofásico

Hay dos tipos de onda, monofásica amortiguada sinusoidal y monofasica exponencial truncada.

 

Desfibrilador Bifásico

Hay tres tipos de onda.

1 Bifásica exponencial truncada.

2 Bifásica pulsada.

3 Bifásica rectilínea.

la forma de onda Bifásica rectilínea es realmente la única onda de desfibrilación externa y con alta eficacia. (95% de los pacientes revierten la fibrilación ventricular o taquicardia ventricular sin pulso) Un estudio realizado con mas de 7,000 pacientes lo avalan y confirmado por la FDA.

Por lo tanto lo adecuado es lo siguiente:

Monofásico: Dosis de energía 360 julios primera y todas las siguientes.

Bifásico:

Exponencial:

Dosis de energía 150 Julios Inicial y siguientes de 200 J.

Rectilíneo:

Dosis de energía 120, 150 y 200 Julios. (99% de eficacia con 120 J)

Bifásico de 360 Julios:

Dosis de energía: 120 J inicial. Siguientes descargas 200, 300 y 360 julios. cuando es persistente la FV o TV.

Si tienes duda de que tipo de desfibrilador tienes en tu hospital sera mejor que lo sepas o por lo menos lo sospeches por lo tanto te recomendamos algo sencillo.

Consulta con Ingenieria biomédica de tu hospital o realiza una prueba sencilla. Selecciona la máxima carga y si llega a 200 julios seguro es Bifásico.

Si tu desfibrilador llega como máximo a 360 julios Upss Sencillo si el aspecto del equipo es un poco antiguo. Seguro que es monofásico.

Pero si su aspecto es nuevo y multicolor como el que tenemos en la imagen seguro es Bifásico de alta tecnología.

Te preguntaras y ¿que tan importante es saberlo? bueno conforme a estudios realizados la terapia monofásica tiene un 50% de efectividad  y la bifásica tiene un 95% de efectividad de romper con la FV o TV sin pulso.  Siempre y cuando también se cumpla con el tiempo, ya que por cada minuto que pasa el indice de sobrevida disminuye de un 7 a un 10 %.

 

 

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