title: Comparison of the effects of removal of chest hair with not doing so before external defibrillation on transthoracic impedance.
abstract: Chest hair contributes significantly to transthoracic impedance (TTI) during defibrillation. The magnitude of this effect has not been established using external paddles. We compared TTI in 40 men before elective cardiac surgery, and before and after shaving their chests. Chest hair causes a significant increase in TTI during external defibrillation, the magnitude of the effect being related to both the quantity of hair and force applied to the defibrillation paddles. When the chests of nonhirsute patients were shaved, a decrease in TTI occurred, which was probably related to the creation of low-impedance pathways through skin abrasions.
authors.affiliation: Shackleton Department of Anaesthetics, Southampton University Hospital NHS Trust, Southampton, UK.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Sado
authors.forename: Charles D
authors.initials: CD
authors.lastname: Deakin
authors.forename: Graham W
authors.initials: GW
authors.lastname: Petley
authors.forename: Frank
authors.initials: F
authors.lastname: Clewlow
mesh_terms: D000328:Adult; D002307:Cardiography, Impedance; D016022:Case-Control Studies; D004554:Electric Countershock / Q000379:methods*; D006204:Hair Removal; D006801:Humans; D008297:Male; D011300:Preoperative Care; D013909:Thorax