Synchronized cardioversion: Difference between revisions
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{{Defibrillation and cardioversion indications}} | {{Defibrillation and cardioversion indications}} | ||
== | ==Contraindications== | ||
*None | |||
==Equipment Needed== | |||
*AED | |||
*Defibrillator | |||
==Procedure== | |||
===Cardioversion=== | |||
*Must repush "Sync" button after each discharge | *Must repush "Sync" button after each discharge | ||
*Consider sedation (fentanyl or [[etomidate#Procedural Sedation|etomidate]] useful if hypotensive) | *Consider sedation (fentanyl or [[etomidate#Procedural Sedation|etomidate]] useful if hypotensive) | ||
==Doses== | ===Doses=== | ||
Initial recommendations: | Initial recommendations: | ||
*Tachycardia with pulse | *Tachycardia with pulse | ||
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**Wide irregular: [[defibrilate]] (NOT synchronized) | **Wide irregular: [[defibrilate]] (NOT synchronized) | ||
==Complications== | |||
==See Also== | ==See Also== | ||
*[[ACLS (Main)]] | *[[ACLS (Main)]] | ||
*[[PALS (Main)]] | *[[PALS (Main)]] | ||
*[[Defibrillation]] | |||
==External Links== | |||
== | ==References== | ||
AHA 2010 ACLS Recommendations | *AHA 2010 ACLS Recommendations | ||
<references/> | |||
[[Category:Critical Care]] | [[Category:Critical Care]] | ||
[[Category:Cards]] | [[Category:Cards]] | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Revision as of 08:44, 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
Contraindications
- None
Equipment Needed
- AED
- Defibrillator
Procedure
Cardioversion
- 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)
Complications
See Also
External Links
References
- AHA 2010 ACLS Recommendations