Defibrillator implant Surgery

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What is Defibrillator Implant?
A defibrillator implant is a device that can be placed under the skin of the chest to monitor the electrical activity of the heart. In the event of life-threatening changes in heart rhythm, the defibrillator implant will send small pulses of electricity or higher energy shocks to your heart to return it to a normal heart portable defibrillator rhythm. The defibrillator unit itself consists of an impulse generator, batteries, and electrodes. The device can be implanted a number of ways including incisions on your breastbone and your collarbone. Sometimes defibrillator implants are implanted during open heart surgery for other heart problems.

Who are candidates for Defibrillator Implant?
Defibrillator implants may be advised for the following:
Patients who have had episodes of serious heart arrhythmias (abnormal heart rhythm).
Patients who have had a heart attack and are at high risk for sudden cardiac death.
Patients who have hypertrophic portable defibrillator cardiomyopathy - a complex heart disease characterized by thickening of the heart muscle and ventricular stiffness.
Patients with at least one episode of ventricular tachycardia - rapid heartbeat in the ventricles of the heart.

Portable Defibrillator Information

A defibrillator is a medical device for defibrillation and cardioversion. It can be targeted by power surges, and cardiac arrhythmias such as ventricular fibrillation (defibrillation) or ventricular tachycardia, atrial portable defibrillator fibrillation and atrial flutter (cardioversion end). Defibrillators will be ready in intensive care in emergency rooms, many other places in the hospital and in vehicles of the emergency services and many doctors' offices since the 1990s increasingly also in many public buildings such as railway stations, airports and other locations for use by medical laymen. Also, there are already offers devices for private homes, since they can be operated by voice instructions by any person and such emergencies occur mostly at home.

In 85 percent of all sudden cardiac death at first exists a so-called ventricular fibrillation. A defibrillator can interrupt this circular electrical stimulation in the heart by simultaneous stimulation of at least 70 percent of all cardiac muscle cells. In a large number of cells simultaneously depolarized, which means that these cells (a relatively long time about 250 ms = refractory period of the cells) portable defibrillator are no longer excitable. The rotating shaft is virtually cut off the road and my heart is back in a state in which can take the natural conduction stimulation of the heart again. Essential for them to defibrillation is the earliest possible deployment, as the ventricular fibrillation caused by the undersupply of the brain can lead to oxygen (Gehirnischämie) within a short time to massive neurological deficits. For this reason, be placed in the public space increasingly automated external defibrillators (AED). The successful use of an AED stands or falls with the correct implementation of the cardio-pulmonary resuscitation. The AED is only a complement to, not substitutes.

Portable Defibrillator Aed

AED Now! is dedicated to saving lives through the use of portable defibrillator, or AEDs.

The shock delivered by an AED is the only mechanical way for a Sudden Cardiac Arrest (SCA) victim to survive. And to be effective that first shock should be delivered within the first 3-5 minutes.

Sudden Cardiac Arrest is a leading cause of death in the United States, claiming an estimated 325,000 lives each year. During a sudden cardiac arrest, heart function ceases -- abruptly and without warning. When this occurs, the heart is no longer able to pump blood to the rest of the body, and in some 95% of victims, death occurs.

While Sudden Cardiac Arrest (SCA) is portable defibrillator a significant public health crisis, it is often misunderstood. SCA is not a heart attack. Most deaths from SCA occur with little or no warning. The most common cause of sudden cardiac arrest is a disturbance in the heart rhythm called ventricular fibrillation.

Once a cardiac arrest occurs, cardiopulmonary resuscitation (CPR) and defibrillation is required within the first several minutes to restore electrical activity to the heart and revive the heart's pumping function.

Availability of Automated External (AEDs) is critical for rapid response to cardiac arrest.

AEDs are used by first response professionals like Police, Fire and EMS. The AED is standard equipment for these professionals. For schools, offices, stores, gyms, and public spaces an AED is becoming as vital as the fire extinguisher.

At AED Now!, we offer 4 of the top portable defibrillator brands of AEDs. Once you learn about the challenges of surviving Sudden Cardiac Arrest and the ultimate need for an AED, we think that by offering you a choice, we can help you select the AED that best suits your needs.

Defibrillator Materials -2-




Following its generation and use, it can be:
  • easy,
  • associated with a scope to visualize the patient's electrocardiogram,
  • associated with an portable defibrillator external pacemaker: issuance of low electrical pulses (adjustable level) at a frequency corresponding to the desired heart rate when heart is too slow (bradycardia)
  • semi automatic analyzing the electrical path and enabling the patient as appropriate cardioversion or not. The automatic is generally disengaged for use outside of the cardio-circulatory arrest.
  • automatically analyzing the route and delivers the shock if needed, whose use is mainly oriented towards the general public.
Available commands are:
  • the off button,
  • the choice of the impact energy, expressed in joules: depending on the device and use can range from 40 to 375 joules.
  • the loading of pallets,
  • Order of issue of shock,
  • establish synchronization on the patient's ECG (for treatment of atrial fibrillation).
The shape of the energy delivered is monophasic in the first generation of defibrillators and biphasic (polarity reversal during the shock) in those present. The advantage is they require less energy for defibrillation (less risk of skin burns and less theoretical risk of heart).

Separately, the portable defibrillator, which, as its name suggests, is located on the patient as a pacemaker: it detects and automatically administers an electric shock in case of occurrence of ventricular arrhythmia serious.

The device used for electric shock in psychiatry (ECT), is entirely different in its design and currents generated.

Portable Defibrillator Materials

The device delivers the portable defibrillator electrical shock called a defibrillator. It usually works on batteries to be mobile. It comprises at least:

  • an electric power to deliver an electric current calibrated length, shape and intensity,
  • a means of transmitting electrical impulses to the patient, two pallets conductive block connected to the electrical cable, two large, flat electrodes, coated with a conductive gel that are stuck onto the patient. The position of the electrodes is either anterior-posterior (electrode before, at the sternum, the other being stuck in the back) or anterolateral (the first electrode being in front, slightly to the portable defibrillator right of the sternum, the second on the left side of chest). It seems that the first position is slightly more effective for defibrillation.

Portable Defibrillator History


The first attempts at portable defibrillator resuscitation by an electric shock dating from 1788, although we naturally ale concept of how. The rhythm disorder responsible for sudden death was suspected in 1849 by Ludwig and Hoffa and fibrillation is the term created by the French Edmé Vulpian in 1874.
In 1899, we note that one can induce ventricular fibrillation by electric shocks and can stop this latest suit.

Carl Wiggers first system tests on animals in the late 1940.
Claude Beck did the first alternating current defibrillation success during an operation on his heart in 1947. Naum Gurvich in 1939 proves that the use of a DC is more effective and less dangerous. This technique will be widely used later in the USSR but only a few decades later than in Western countries. It portable defibrillator also tests the biphasic shock for the first time. It designs and the first external defibrillator since 1952.

In 1959 Bernard Lown performs the first shock to the reduction of atrial fibrillation. He will introduce in the Western technique of defibrillation by direct current, used today.
In 1960 was built in Paris the first external pacemaker connected to a defibrillator. At the same time, Bernard Lown is the first to use the defibrillator to treat ventricular tachycardia (in either ventricular fibrillation).

In 1966 was manufactured transportable system can be set palc in an ambulance and used outside the hospital. Early models portable defibrillator were nearly 70 kg, but passing quickly under the 5 kg with progs miniaturization.

The first semi-automatic defibrillators appear in the 1980.

Be Considered in the Use with defibrillator

Within 8 minutes after portable defibrillator the heart stops Defibrillation function and cardiopulmonary (heart massage) resuscitation procedures should be made. Heart attack patients, for a more comprehensive treatment within 20 minutes of a hospital emergency department must be reached. Ventricular fibrillation patients re-entering life together rotation should be applied for cardiopulmonary resuscitation and defibrillation therapy.


Alone is not sufficient cardiopulmonary resuscitation! If the heart stops (cardiac arrest) from the first 4 minutes in the first 8 minutes of cardiopulmonary resuscitation and defibrillation of ventricular fibrillation portable defibrillator to be applied if the average of 40% of patients entering the recovery is back to normal life. Later the patient's head incidents Defibrilasyona chance to escape the wane; cardiopulmonary resuscitation and first 10 minutes after defibrilasyona incidents per average just one of every 250 patients can be saved. Manually and automatically Defibrilasyona can be made. Manual defibrillation, the application must or must not shock cardiac rhythm is necessary to know very well. We are cut off cardiopulmonary resuscitation to patients verrildiği shock. In some applications, 15 and 30 seconds after each shock for cardiopulmonary resuscitation are performed.

Defibrillator device is important in the use of the following matters:

Defibrillators high-risk medical devices are classified into. Patients not to occur on the device to malfunction, according to international standards, testing and calibration of defibrillators in every 6 months should be measured.

• the use of use of the portable defibrillator device necessarily must be read before. This way, when the alarm device to malfunction as a result required immediate intervention on the various warning indicators are yapılabilcektir.Cihaz. For example: bataryaşarj a low level, the device being burnt insurance, registration mechanism jams, ECG recordings, etc. to tip burn.

• Preferably one or more belonging to the number of defibrillator devices should have a backup battery. This battery charger constantly be waiting for you on.

• ECG monitor electrodes sufficient contact with the patient not the patient has lead to distorted trasesinin ECG.

Portable Defibrillator Reviews

Defibrillator:
Your heart beats fast stop abnormal heart rhythm back to normal again by ensuring that vehicle.

1. Physiological Explanation:
Fibrillation: heart, that portable defibrillator the most important organ of the circulatory system works as a pump. Life for more precise operation of this pump is required. Heart muscle, the brain receives from the "contract" with the contract orders and "relax" with orders to relax. Heart muscle or skeletal muscle fiber is made up of fibrils. Life at the same time all of this stress as a result of heart muscle contraction. This is due to any disease of Fibrous protein or fiber, irregular, independent to each other when called tense fibrillation.

Work in this way stop by if you have portable defibrillator heart fibrillation persists after a while, and now will not work the heart Fibrous protein are separated from each other is a state. Defibrillation: new or fibrillation had suffered heart stopped in shock to give the electrical energy from the outside if the heart is stimulated and contracts. After the first act like a motor engine is running, as evoked in this way the heart starts to work again. Have suffered this shock on the heart fibrillation if the heart muscle must be made as soon as the contract requires.

2. Defibrillation Mechanism:
Certain level of electrical ventricular defibrillation provides warning. Returns to normal in the ventricles into fibrillation with shock.

What is a defibrillator?


Defibrillator, heart's normal heart rhythm back to normal again throw out the tool provides. Or new to have suffered a heart fibrillation stopped to give the electrical energy into shock if the heart is stimulated and contracts from the outside. To be given shock to the heart of the heart ventricular defibrilatör must fibrilsyonda. Shock to the heart is not completely stopped. At the same time the heart is also used in the treatment of rhythm disorders.