5 doctors weighed in:
What are the steps of an elective cardioversion?
5 doctors weighed in

Dr. Bennett Werner
Internal Medicine - Cardiology
2 doctors agree
In brief: Check list
I'm assuming this is for atrial fib? Full anticoagulation for at least 4 weeks.
Nothing by mouth 4 hours before. Pads and monitor leads placed on chest and/or back. Iv line secured. Iv sedation. Synchronized cardioversion. Supervision till awake. Home.

In brief: Check list
I'm assuming this is for atrial fib? Full anticoagulation for at least 4 weeks.
Nothing by mouth 4 hours before. Pads and monitor leads placed on chest and/or back. Iv line secured. Iv sedation. Synchronized cardioversion. Supervision till awake. Home.
Dr. Bennett Werner
Dr. Bennett Werner
Thank
Dr. John Garner
Internal Medicine - Cardiology
In brief: 1, 2, 3
1) we bring you into the procedural area and review your medical history.
This lets us pick the best anesthesia strategy. 2) we perform an echocardiogram (tee) if necessary to exclude any clots that might fling loose when we deliver the shock 3) we put you fully to sleep, even if only briefly and deliver the shock that will (hopefully) restore normal rhythm. *) bonus 4: you go home!

In brief: 1, 2, 3
1) we bring you into the procedural area and review your medical history.
This lets us pick the best anesthesia strategy. 2) we perform an echocardiogram (tee) if necessary to exclude any clots that might fling loose when we deliver the shock 3) we put you fully to sleep, even if only briefly and deliver the shock that will (hopefully) restore normal rhythm. *) bonus 4: you go home!
Dr. John Garner
Dr. John Garner
Thank
Dr. Irv Loh
Internal Medicine - Cardiology
In brief: Several important
Assuming it's for atrial fibrillation (af), it depends on duration of the af.
If it's been a few days, anticoagulants to avoid systemic embolization, possible echocardiography to look for clots and determine chamber sizes for prognostic purposes. Good informed consent, modest fasting, establishing an IV for the medications, possibly an anesthesiologist, synch testing, and a good cardiologist!

In brief: Several important
Assuming it's for atrial fibrillation (af), it depends on duration of the af.
If it's been a few days, anticoagulants to avoid systemic embolization, possible echocardiography to look for clots and determine chamber sizes for prognostic purposes. Good informed consent, modest fasting, establishing an IV for the medications, possibly an anesthesiologist, synch testing, and a good cardiologist!
Dr. Irv Loh
Dr. Irv Loh
Thank
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