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Does anyone know if there any advantages to using amiodarone in addition to epinephrine in vfib/vtach during a code?
I think they took it out of acls
I think they took it out of acls
2015 Recommendations—Updated
Amiodarone may be considered for VF/pVT that is unrespon- sive to CPR, de brillation, and a vasopressor therapy (Class IIb, LOE B-R).
Lidocaine may be considered as an alternative to amioda- rone for VF/pVT that is unresponsive to CPR, de brillation, and vasopressor therapy (Class IIb, LOE C-LD).
The routine use of magnesium for VF/pVT is not recom- mended in adult patients (Class III: No Bene t, LOE B-R).
No antiarrhythmic drug has yet been shown to increase survival or neurologic outcome after cardiac arrest due to VF/pVT. Accordingly, recommendations for the use of anti- arrhythmic medications in cardiac arrest are based primarily on the potential for bene t on short-term outcome until more de nitive studies are performed to address their effect on sur- vival and neurologic outcome.
My question was in regards to possible advantages of amio not whether it is part of the guidelines. Thank you for the link. It states that there is no evidence that it improves ROSC or neurological outcome.
There's no evidence that anything other than compressions, defibrillation, and avoiding post-code fevers helps neurologic outcomes or survival to hospital discharge. (Epi does help ROSC iirc, but not the outcomes that actually matter)My question was in regards to possible advantages of amio not whether it is part of the guidelines. Thank you for the link. It states that there is no evidence that it improves ROSC or neurological outcome.