Synchronized cardioversion: Difference between revisions
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==Equipment Needed== | ==Equipment Needed== | ||
*Defibrillator | *Defibrillator | ||
*Consider sedation medication in conscious patient (e.g. etomidate, ketamine), but do not delay procedure in unstable patient | |||
==Procedure== | ==Procedure== | ||
===Cardioversion=== | ===Cardioversion=== | ||
* | *Apply pads (anterior-posterior placement is preferred) | ||
* | *Select appropriate Joule setting | ||
*Ensure machine is "synced" before each discharge | |||
*Give sedation, if indicated | |||
*Cardiovert | |||
*Repeat PRN | |||
===Doses=== | ===Doses=== | ||
Revision as of 07:25, 19 June 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
- Defibrillator
- Consider sedation medication in conscious patient (e.g. etomidate, ketamine), but do not delay procedure in unstable patient
Procedure
Cardioversion
- Apply pads (anterior-posterior placement is preferred)
- Select appropriate Joule setting
- Ensure machine is "synced" before each discharge
- Give sedation, if indicated
- Cardiovert
- Repeat PRN
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