Amiodarone & Lidocaine

Amiodarone or lidocaine may be given to patients in VF or pulseless VT refractory to defibrillation and vasopressor. Recent study comparing Amiodarone to lidocaine shows no statistical difference in survival to discharge. 1-1.5 mg/kg lidocaine IV push is the initial dose for cardiac arrest. 0.5-0.75 mg/kg may be repeated in 5-10 minutes to a maximum of 3 mg/kg. Amiodarone is not weight based. For cardiac arrest, the initial dose is 300 mg given IV push. If VF or pulseless VT continues, a second dose of 150 mg IV push may be given in 3-5 minutes. For wide complex tachycardia with a pulse, Amiodarone is administered IV as 150 mg over 10 minutes followed by a drip at 1 mg/min for 6 hours. Connect with me: https://twitter.com/PassACLS (@PassACLS) on Twitter https://www.linkedin.com/company/pass-acls-podcast/ (@Pass-ACLS-Podcast) on LinkedIn