Therapeutic target
Restoration of a sufficient circulation
Therapy recommendations
- Cardiopulmonary resuscitation (resuscitation; cardiac massage: ventilation = 30: 2) with defibrillation (shock generator; treatment method against the life-threatening cardiac arrhythmias; independent of the cardiac action).
- Adrenaline (sympathomimetic).
- Amiodarone (antiarrhythmic drug; 300 mg i.v. or intraosseous after third unsuccessful defibrillation; evidence-based) or lidocaine (100 mg i.v.)
- ICD implantation (timely)
- See also under “Further therapy“.
Further notes
- In patients with cardiac arrest due to refractory ventricular fibrillation (VF/theraperefractory, tachycardia (VT), patients with good neurologic function do better with beta-blockers than patients without in terms of return of spontaneous circulation to survival.
