Electrical Cardioversion Algorithm

Between 370 000 and 750 000 american patients suffer in hospital cardiac arrest with attempted cardiopulmonary resuscitation each year.

Electrical cardioversion algorithm. Becoming familiar with synchronized cardioversion. Follow guidance for tachyarrhythmia. Patients were administered a synchronized electrical cardioversion of 150 200 joules from a biphasic device. If the patient is haemodynamically stable no reduced conscious level systolic bp 90 mmhg.

Unlike defibrillation which is used in cardiac arrest patients synchronized. Electrical cardioversion was administered if this first method was unsuccessful at converting the rhythm. Synchronized cardioversion is a procedure similar to electrical defibrillation direct current cardioversion in that a transthoracic electrical current is applied to the anterior chest to terminate a life threatening or unstable tachycardic arrhythmia 1. Link to peri arrest algorithm haemodynamic compromise is an indication for rapid dc cardioversion always use sedation or general anaesthesia ensure 2 doctors present one with advanced airway skills.

9 in this population the only rhythm specific therapy proven to increase survival to hospital discharge is timely defibrillation. Electrical cardioversion should be carried out under general anaesthesia or conscious sedation given by a healthcare professional with the appropriate training and experience. If the patient is pulseless or if the patient is unstable and the defibrillator will not synchronize use high energy unsynchronized cardioversion defibrillation. Patients were given a procainamide infusion of 17 mg kg up to 1500 mg over 1 hour.

2 timely defibrillation is the only rhythm specific therapy proven to increase. The first step in preparing to administer electrical cardioversion is to ensure that the defibrillator is set to deliver a synchronised shock.