How Much Propofol Is Needed For Cardioversion?

Are you awake during cardioversion?

Because the shock would be painful for a patient who is awake, an intravenous medication is given to sedate the patient.

Patients are asleep during the cardioversion and most do not remember the procedure..

What is the difference between cardioversion and shock?

Defibrillation is nonsynchronized random administration of shock during a cardiac cycle. … Cardioversion is a synchronized administration of shock during the R waves or QRS complex of a cardiac cycle.

Is cardioversion done under general anesthesia?

Elective cardioversion is a short procedure performed under general anesthesia for the treatment of cardiac dysrhythmias. Selection of the anesthetic agent is important, because a short duration of action and hemodynamic stability are required.

What does synchronized cardioversion mean?

Synchronized cardioversion is a procedure similar to electrical defibrillation, in that a transthoracic electrical current is applied to the anterior chest to terminate a life-threatening or unstable tachycardic arrhythmia.

What sedation is used for cardioversion?

The authors conclude that propofol is the superior sedative for emergency cardioversion of hemodynamically stable patients.

Do you need sedation for cardioversion?

Brief general anesthesia is required for elective cardioversion in hemodynamically stable patients. The pharmacological agent used to facilitate cardioversion should rapidly achieve the desired depth of anesthesia, should wear off rapidly, and should not cause cardiovascular or respiratory side effects.

Does cardioversion damage your heart?

Major risks of cardioversion include: Dislodged blood clots. Some people who have irregular heartbeats have blood clots in their hearts. Electric cardioversion can cause these blood clots to move to other parts of your body.

Which is better cardioversion or ablation?

Conclusion: In patients with AF, there is a small periprocedural stroke risk with ablation in comparison to cardioversion. However, over longer-term follow-up, ablation is associated with a slightly lower rate of stroke.

How fast do you push Propofol?

The rate of DIPRIVAN administration should be determined based on the patient’s premedication and adjusted according to clinical responses. A rapid bolus induction should be avoided. A slow rate of approximately 20 mg every 10 seconds until induction onset (0.5 mg/kg to 1.5 mg/kg) should be used.

What medication do you give before cardioversion?

A medicine called an anticoagulant or blood thinner may be given before and after the procedure. This medicine helps to reduce your risk of blood clots, especially if you have atrial fibrillation or flutter. In some cases, the cardioversion may not restore a normal heart rhythm.

What happens if cardioversion does not work?

You’ll probably get medicine to take for 3-4 weeks before and after the procedure to help prevent blood clots. Stroke: If a clot travels to your brain, it can cause a stroke. It might not work: Cardioversion doesn’t always fix a fast or irregular heartbeat. You may need medicine or a pacemaker to control things.

Do you feel pain under propofol?

What side effects does propofol have? It can cause a decrease in blood pressure, it can depress or even stop breathing, and it can cause pain on injection.

How long does Propofol take to work?

It is given by injection into a vein, and the maximum effect takes about two minutes to occur and typically lasts five to ten minutes.

How much propofol is used for sedation?

Generally, a propofol loading dose of 40 mg to 50 mg is given with further smaller bolus loads (10 mg to 20 mg) to maintain sedation, with a typical total dose between 100 mg and 300 mg.

What voltage is used in cardioversion?

These catheters were connected to an external defibrillator delivering biphasic 3/3 ms shocks with a voltage which could be programmed from 10 to 400 volts. The shocks were synchronised on the R wave.