Propofol, methohexital, thiopentone and etomidate all appear to be good choices for procedural sedation in patients requiring electrical cardioversion for atrial fibrillation, atrial flutter and paroxysmal supraventricular tachycardia.

What drug is given before a cardioversion?

Propofol, methohexital, thiopentone and etomidate all appear to be good choices for procedural sedation in patients requiring electrical cardioversion for atrial fibrillation, atrial flutter and paroxysmal supraventricular tachycardia.

What is pharmacological cardioversion?

When your heart is beating normally, this is called normal sinus rhythm. Taking medications to help your heart stay in normal sinus rhythm is called pharmacologic cardioversion. It is often the first strategy for treating Afib.

Does chemical cardioversion require anticoagulation?

Current AF guidelines all recommend 3 weeks of therapeutic anticoagulation with oral anticoagulation therapy (VKA, DTI, or FXa inhibitors) before cardioversion. When early cardioversion is required, all guidelines recommend TEE to exclude the presence of left atrial thrombus.

Is amiodarone used for cardioversion?

Amiodarone has been used both intravenously (i.v.) and orally for the pharmacological cardioversion of recent-onset atrial fibrillation. Intravenous amiodarone has been used as a bolus only or as a bolus followed by a continuous i.v. infusion until conversion or up to 24 h.

What sedation is used for cardioversion?

The authors conclude that propofol is the superior sedative for emergency cardioversion of hemodynamically stable patients. They recommend that further studies be conducted.

Is an AED used for cardioversion?

Defibrillation and cardioversion may be accomplished using a manual defibrillator, which requires users to recognize the dysrhythmia and preselect the energy to be delivered. Alternatively, automated external defibrillators (AEDs) may be used.

What are NOACs drugs?

Answer. Novel oral anticoagulants (NOACs) include apixaban, dabigatran, rivaroxaban, and edoxaban. NOACs are alternatives to warfarin for high-risk patients (including those with a history of stroke) who have atrial fibrillation.

What is amiodarone prescribed for?

Amiodarone is used to treat life-threatening heart rhythm problems called ventricular arrhythmias. This medicine is used in patients who have already been treated with other medicines that did not work well.

How do you sedate before cardioversion?

Hence, it was advised to add dexmedetomidine to propofol for sedating patients undergoing elective cardioversion in a Cardiac ICU. Propofol, a short-acting anesthetic agent, is the most commonly used medication for emergency department procedural sedation.

What are DC shocks?

A direct current cardioversion is a procedure which uses a defibrillator (a medical device) to deliver a controlled electric shock to your heart in order to try and return your heart rhythm (or beat) to normal.