Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 29, 2013Emergency Medicine Journal

Procedural sedation with propofol for emergency DC cardioversion

View Full Paper
Ask AI
Bookmark
Share

Key result

Propofol at doses of 0.5 to 1 mg/kg appears safe for procedural sedation during emergency direct current cardioversion for atrial tachyarrhythmias, with 0 moderate or sentinel adverse events reported.

Why the study?

Is propofol safe for procedural sedation during emergency DC cardioversion in patients with atrial tachyarrhythmias?

Population

Emergency department patients with atrial tachyarrhythmia requiring emergency direct current countershock…

Design

Case_series

Authors

PKPhilip KayeNottingham University Hospitals NHS TrustMGMatthew GovierUniversity Hospitals Bristol NHS Foundation Trust

Discussion

Loading...

Member takes

Overview

May support low-dose propofol for emergency cardioversion sedation; hypothesis-generating case report requiring prospective validation.

Study Design

Type

Observational

Structured PICO

Is propofol safe for procedural sedation during emergency DC cardioversion in patients with atrial tachyarrhythmias?

P
Population
Emergency department patients with atrial tachyarrhythmias undergoing direct current cardioversion facilitated by propofol sedation.
E
Exposure
Procedural sedation with propofol (1 mg/kg for patients without haemodynamic compromise, 0.5 mg/kg for patients with haemodynamic compromise, with reduced doses considered in older patients).
O
Outcome
Adverse events assessed using the adverse event reporting tool produced by the World SIVA International Sedation Task Force.safety

Propofol at doses of 0.5 to 1 mg/kg appears to be a safe agent for procedural sedation during emergency DC cardioversion for atrial tachyarrhythmias, with no sentinel adverse events reported.

Limitations

  • Evidence to support the use of propofol to facilitate emergency DCCV for ventricular tachycardia is limited.

Cite This Study

Kaye et al. (2013) conducted an observational in Cardiac arrhythmias requiring emergency direct current countershock cardioversion. Propofol was evaluated on Moderate or sentinel adverse events. Propofol at doses of 0.5 to 1 mg/kg appears safe for procedural sedation during emergency direct current cardioversion for atrial tachyarrhythmias, with 0 moderate or sentinel adverse events reported.

synapsesocial.com/papers/6a9da2d5671a753206579dbbhttps://doi.org/10.1136/emermed-2013-202742
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardioversion of acute atrial fibrillation in the emergency department: a prospective randomised trial2011 · 45 citations
  2. 2Anaesthesia for cardioversion1996 · 30 citations
  3. 3Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force2011 · 256 citations
  4. 4Safety of propofol for conscious sedation during endoscopic procedures in high-risk patients-a prospective, controlled study2003 · 147 citations