Synchronized cardioversion: Difference between revisions
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''See [[critical care quick reference]] for doses by weight.'' | ''See [[critical care quick reference]] for doses by weight.'' | ||
{{Defibrillation and cardioversion indications}} | |||
==Background== | ==Background== | ||
Revision as of 08:40, 30 May 2015
See critical care quick reference for doses by weight.
Indications
It is important to note that the procedure and indications differ between defibrillation and cardioversion
Defibrillation (Unsynchronized Cardioversion)
Synchronized Cardioversion
- Supraventricular tachycardia (SVT)
- Atrial fibrillation
- Atrial flutter
- Ventricular tachycardia with a pulse
Background
- Must repush "Sync" button after each discharge
- Consider sedation (fentanyl or etomidate useful if hypotensive)
Doses
Initial recommendations:
- Tachycardia with pulse
- Narrow regular: 50-100 J
- Narrow irregular
- Biphasic: 120-200 J
- Monophasic: 200 J
- Wide regular: 100 J
- Wide irregular: defibrilate (NOT synchronized)
See Also
Source
AHA 2010 ACLS Recommendations.