title: Do physiological changes in pregnancy change defibrillation energy requirements?
abstract: Resuscitation during pregnancy is uncommon, with approximately 70 deaths occurring during pregnancy in the UK per annum. Physiological changes during pregnancy may affect transthoracic impedance (TTI), which determines transmyocardial current. Increased blood volume, cardiomegaly, haemodilution, changes in lung volume and changes in thoracic volume may alter impedance in ways that are difficult to predict. We measured TTI at term and after delivery once physiological changes had resolved. Mean (SD) TTI was 91.3 (15.8) Omega at term and 91.6 (11.8) Omega 6-8 weeks after delivery; the difference was not statistically significant. We conclude that current energy requirements for adult defibrillation are appropriate for use during pregnancy.
authors.affiliation: Shackleton Department of Anaesthesia, Southampton University Hospital NHS Trust, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
authors.forename: J
authors.initials: J
authors.lastname: Nanson
authors.forename: D
authors.initials: D
authors.lastname: Elcock
authors.forename: M
authors.initials: M
authors.lastname: Williams
authors.forename: C D
authors.initials: CD
authors.lastname: Deakin
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D004554:Electric Countershock / Q000379:methods*; D017097:Electric Impedance; D005260:Female; D006801:Humans; D011247:Pregnancy / Q000502:physiology*; D013909:Thorax / Q000502:physiology*