Analgetic Sedation for Electrical Cardioversion in Emergency Room
Abstract
General practitioner assigned in emergency room must have ability to do electrical cardioversion either in emergency, urgent or elective setting. Analgetic sedation is mandatory to avoid severe pain during electrical cardioversion. Limited number of anesthesiologist and emergency setting that need prompt electrical cardioversion warrant of selecting and using of analgetic sedation agents by doctor in emergency room. Characteristics of those agents must have strong analgesic effect and rapid onset and offset, minimize pain and anxiety and maximize amnesia with minimal adverse effect. This paper reviews some randomized control trial of those agents.Downloads
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References
Link M S, Atkins D L, Passman R S, Halperin H R, Samson R A. et al. Part 6: Electrical Therapies: Automated External Defibrillators, Defibrillation, Cardioversion, and Pacing - 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122;S706-S719
Neumar R W, Otto C W, Link M S, Kronick S L, Shuster M, et al. Part 8: Adult Advanced Cardiovascular Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122;S729-S767
American Society of Anesthesiologists. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists An Updated Report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Anesthesiology 2002; 96:1004–17.
The American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Procedural Sedation and Analgesia : Godwin S A, Caro D A, Wolf S J, Jagoda A S, Charles R, Marett B E, Moore J. Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department. Ann Emerg Med. 2005;45:177-196.
Kalogridaki M, Souvatzis X, Mavrakis H E, Kanoupakis E M, Panteli A, Kasotaki S, Vardas P, Askitopoulou H. Anaesthesia for Cardioversion: A Prospective Randomised Comparison of Propofol and Etomidate Combined with Fentanyl. Hellenic J Cardiol 2011; 52: 483-488.
Siedy J., Knapik P., Saucha W., Gross M. Comparison of propofol and etomidate anaesthesia for elective electrical cardioversion. Kardiologia Polska 2010; 68, 11: 1249 – 1255.
Parlak M, Parlak I, Erdur B, Ergin A, Sagiroglu E. Age Effect on Efficacy and Side Effects of Two Sedation and Analgesia Protocols on Patients Going through Cardioversion: A Randomized Clinical Trial. ACADEMIC EMERGENCY MEDICINE 2006; 13:493–499.
Mitchell A R J, Chalil S, Boodhoo L, Bordoli G, Patel N, Sulke N. Diazepam or Midazolam for External DC cardioversion (the DORM Study). Europace 2003; 5: 391-395.
Coll-Vinent B, Sala X, Fernandez C, Bragulat E, et al. Sedation for Cardioversion in the Emergency Department: Analysis of Effectiveness in Four Protocols. Ann Emerg Med. 2003;42:767-772.
Hullander R M, Leivers D, Wingler K. A Comparison of Propofol and Etomidate for Cardioversion. Anesth Analg 1993; 77: 690-4.
Valtonen M, Kanto J, Klossner J. Anaesthesia for cardioversion: A comparison of propofol and thiopentone. Can J Anaesth 1988; 35, 5 : 479-83.
Frazee B W, Park R S, Lowery D, Baire M. Propofol for deep procedural sedation in the ED. American Journal of Emergency Medicine (2005) 23, 190–195
Zed P J, Abu-Laban R B, Chan W W Y, Harrison D W. Efficacy, safety and patient satisfaction of propofol for procedural sedation and analgesia in the emergency department: a prospective study. Can J Emerg Med 2007;9(6):421-7
Serpytis P, Jurkuvenas V, Skromovas V, Serpytis R. Propofol is a safer anaesthetic agent than sodium thiopental during cardioversion in patients with depressed left ventricular function. Seminars in Cardiovascular Medicine 2010; 16: 2
Huter L, Schreiber T, Gugel M, Schwarzkopf K. Low-Dose Intravenous Midazolam Reduces Etomidate-Induced Myoclonus: A Prospective, Randomized Study in Patients Undergoing Elective Cardioversion. Anesth Analg 2007;105:1298 –302.
Harrison S J, Mayet J. Cardioversion and the use of sedation. Heart 2004;90:1374–1376.
Miner J R, Burton J H. Clinical Practice Advisory: Emergency Department Procedural Sedation With Propofol. Ann Emerg Med. 2007;50:182-187.
Neumar R W, Otto C W, Link M S, Kronick S L, Shuster M, et al. Part 8: Adult Advanced Cardiovascular Life Support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010;122;S729-S767
American Society of Anesthesiologists. Practice Guidelines for Sedation and Analgesia by Non-Anesthesiologists An Updated Report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Anesthesiology 2002; 96:1004–17.
The American College of Emergency Physicians Clinical Policies Subcommittee (Writing Committee) on Procedural Sedation and Analgesia : Godwin S A, Caro D A, Wolf S J, Jagoda A S, Charles R, Marett B E, Moore J. Clinical Policy: Procedural Sedation and Analgesia in the Emergency Department. Ann Emerg Med. 2005;45:177-196.
Kalogridaki M, Souvatzis X, Mavrakis H E, Kanoupakis E M, Panteli A, Kasotaki S, Vardas P, Askitopoulou H. Anaesthesia for Cardioversion: A Prospective Randomised Comparison of Propofol and Etomidate Combined with Fentanyl. Hellenic J Cardiol 2011; 52: 483-488.
Siedy J., Knapik P., Saucha W., Gross M. Comparison of propofol and etomidate anaesthesia for elective electrical cardioversion. Kardiologia Polska 2010; 68, 11: 1249 – 1255.
Parlak M, Parlak I, Erdur B, Ergin A, Sagiroglu E. Age Effect on Efficacy and Side Effects of Two Sedation and Analgesia Protocols on Patients Going through Cardioversion: A Randomized Clinical Trial. ACADEMIC EMERGENCY MEDICINE 2006; 13:493–499.
Mitchell A R J, Chalil S, Boodhoo L, Bordoli G, Patel N, Sulke N. Diazepam or Midazolam for External DC cardioversion (the DORM Study). Europace 2003; 5: 391-395.
Coll-Vinent B, Sala X, Fernandez C, Bragulat E, et al. Sedation for Cardioversion in the Emergency Department: Analysis of Effectiveness in Four Protocols. Ann Emerg Med. 2003;42:767-772.
Hullander R M, Leivers D, Wingler K. A Comparison of Propofol and Etomidate for Cardioversion. Anesth Analg 1993; 77: 690-4.
Valtonen M, Kanto J, Klossner J. Anaesthesia for cardioversion: A comparison of propofol and thiopentone. Can J Anaesth 1988; 35, 5 : 479-83.
Frazee B W, Park R S, Lowery D, Baire M. Propofol for deep procedural sedation in the ED. American Journal of Emergency Medicine (2005) 23, 190–195
Zed P J, Abu-Laban R B, Chan W W Y, Harrison D W. Efficacy, safety and patient satisfaction of propofol for procedural sedation and analgesia in the emergency department: a prospective study. Can J Emerg Med 2007;9(6):421-7
Serpytis P, Jurkuvenas V, Skromovas V, Serpytis R. Propofol is a safer anaesthetic agent than sodium thiopental during cardioversion in patients with depressed left ventricular function. Seminars in Cardiovascular Medicine 2010; 16: 2
Huter L, Schreiber T, Gugel M, Schwarzkopf K. Low-Dose Intravenous Midazolam Reduces Etomidate-Induced Myoclonus: A Prospective, Randomized Study in Patients Undergoing Elective Cardioversion. Anesth Analg 2007;105:1298 –302.
Harrison S J, Mayet J. Cardioversion and the use of sedation. Heart 2004;90:1374–1376.
Miner J R, Burton J H. Clinical Practice Advisory: Emergency Department Procedural Sedation With Propofol. Ann Emerg Med. 2007;50:182-187.
Published
2014-03-04
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How to Cite
Yuwono, K. (2014). Analgetic Sedation for Electrical Cardioversion in Emergency Room. Indonesian Journal of Cardiology, 34(2), 126-32. https://doi.org/10.30701/ijc.v34i2.330
Section
Review Article
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