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Procedural sedation for cardioversion
Michigan State University/MERC Emergency Medicine Residency Program, Michigan, USA
Report by Jeremy Wood, Senior Resident
Search checked by Craig Ferguson, Clinical Research Fellow
Michigan State University/MERC Emergency Medicine Residency Program, Michigan, USA
| The first 150 words of the full text of this article appear below. |
A short-cut review was conducted to establish whether any of the available drugs used for procedural sedation in patients with tachydysrhythmias are safer or more effective than the alternatives. In all, 135 papers were found using the reported searches, of which 7 presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that propofol, methohexital, thiopentone and etomidate all seem to be good choices.
A 38-year-old man presents to the emergency department with palpitations and slightly light headed feeling. He has never had these symptoms before and is certain that they started 1 h before arrival. He is awake and alert with a blood pressure of 134/82 mm Hg and a pulse of 128 beats/min. His physical examination is unremarkable, with the exception of
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