general anesthetic will be given through the IV to put the patient to sleep. During the five or 10 minutes of anesthesia, an electric shock is delivered through paddles or patches
Synchronus cardioversion is when shock is delivered on QRS portion of the heart cycle (time when ventricle depolarises). It is used when pulse is present in a patient usually greater than 150/min and sign and symptoms usually of tachycardia. Like in Atrial Fibrillation. But in case of asynchronus cardioversion shock can be given at any time of heart cycle. Pulse is absent like in Ventricular Fibrillation.
It can be administered as a nasal spray, intravenously, or as a tablet.
The starting joules should be 100-120. This will generally result in 90% first shock success in patients with persistent A-Fib.
radiopharmaceutical
The hepatic portal circuit is responsible for transporting blood from gastrointestinal tract to the liver. Certain medication which are administered orally cannot be passed via this system and therefore should be administered via alternative methods such as injections.
Defibrillation also known as cardioversion.
The first steps of an elective cardioversion typically involve obtaining informed consent from the patient, ensuring the patient is fasting before the procedure, confirming the patient's anticoagulation status and correcting any electrolyte abnormalities. Pre-procedure sedation may also be administered as needed.
Most often, cardioversion is used to treat atrial fibrillation or atrial flutter. Life-saving cardioversion can be used to treat ventricular tachycardia and ventricular fibrillation.
Unfortunately, in a number of cases, the heart prefers its abnormal rhythm and reverts to it despite cardioversion.
Cardioversion is used to stop this abnormal beating so that the heart can begin normal rhythm and pump more efficiently.
From the related link, Synchronized Cardioversion is: --A controlled form of defibrillation for patients who still have organized cardiac activity with a pulse.
Ventricular tachycardia lasting more than 30 seconds and ventricular fibrillation require immediate cardioversion.
in about 50% of cases, the heart prefers its abnormal rhythm and reverts to it within one year, despite cardioversion.
CPT 92960
direct current.
Cardioversion, the electric shock to the chest wall, is usually performed emergencies. This device briefly suspends the heart's activity and allows it to return to a normal rhythm
During the process of cardioversion, an electrical shock is delivered to the heart in an attempt to change an irregular heart beat rhythm into a normal one.