循環器ジャーナル70巻4号

2022年10月発行

特集 循環器救急診療・集中治療を極める Ⅵ．循環呼吸管理を極める

電気ショック（同期・非同期）・心臓ペーシング（経静脈・経皮）

著者： 平井信孝¹

所属機関： ¹熊本市医師会熊本地域医療センター循環器内科

ページ範囲：P.609 - P.615

Point
・心室細動や無脈性心室頻拍では，高エネルギーで非同期の電気ショックを行う．
・低エネルギーの電気ショックでは，心室細動の誘発を避けるために心電図同期を行う．
・症候性徐脈には，アトロピン投与に続いて経皮もしくは経静脈ペーシングを行う．

参考文献

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