question, I am confuse - mostazaracing

[ArchivalUser]

We do only sincronized cardioversion in Atrial fibrilation, SVT and VF?????
when we do sincro Vs non syncronized cardioversion??? please I am confuse with this. I apreciate yours concepts?

[ArchivalUser]

Asynchronized Cardioversion is only for V.FIB and Pulseless Vtach, the rest is synchronized Cardioversion.

[ArchivalUser]

thank you Toyo

[ArchivalUser]

the aim of synchronized cardioversion occur when downslop of QRS complex. as in a fib and svt there are proper QRS COMPLEXES so we do synchronize cardioversion

in VFib, there is no PROPER QRS complex so we do synchronise cardioversion. ( on the R wave to be more precise)

the idea behind is if we do asnchronize cardioversion , and current delives on T wave, SVT OR AFIB it will result in vfib which is more lethal.

let me ask you one question mostazaracing, what would cardioverion will you do in torsade de pintis, ( obviously patinet is not stable to do pharmacotherapy)

[ArchivalUser]

for torsades in an unstable pt we cld use a DC defib

[ArchivalUser]

for vfib and torsades......asynchronized cardioversion
rest everything...............synchronized

[ArchivalUser]

you people are so smart