Abstract
Painful recall in elective electrical cardioversion with propofol and the need for additional analgesia
Highlights
Electrical cardioversion (ECV) is a short but painful procedure for treating cardiac dysrhythmias
We conducted a prospective multicenter study to determine the incidence of painful recall in ECV with propofol as a sole agent for sedation, in order to assess the indication for additional opioids
Fifteen patients (6.4%) experienced pain at the side of the defipads and six patients (0.9%) complained of muscle pain after the procedure. In this prospective multicenter study, painful recall (NRS≥4) in ECV was found in 0.4% of the patients
Summary
Electrical cardioversion (ECV) is a short but painful procedure for treating cardiac dysrhythmias. There is a wide variation regarding the medication strategy to facilitate this procedure. External electrical cardioversion (ECV) is a short and painful procedure for treating cardiac dysrhythmias. Incidences varied from 0-23% [3,4,5,6,7,8,9,10,11,12,13,14,15] These studies had severe limitations; recall was not the primary outcome measure, findings were based on small patient groups, results were not differentiated for the sedatives used, supplemental opioids were given, the studies described a variety of short painful procedures or did not reflect clinical practice
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