What treatment is recommended for VF or pulseless ventricular tachycardia (VT) if electric shock is not effective?
Amiodarone may be used for the treatment of shock-refractory or recurrent VF/pulseless VT in infants and children. If amiodarone is not available, consider the use of lidocaine. There are no pediatric data investigating the efficacy of lidocaine for shock-refractory VF/pulseless VT.
American Heart Association: 2010 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Part 10: Pediatric Basic and Advanced Life Support. Circulation 2010;122:S466-S515.