This video demonstrates the successful cardioversion of a patient with an atrial flutter tachycardia. Our patient has given permission for the creation and posting of this video.
I'm the person (victim) in this video. It's been quite a long time since this happened (now 2016). GRU Emergency team were great and Dr Berman AWESOME. As a former cardiac nurse, I knew what was going on. I want you to tell you that I have had no further cardiac episodes - I'm in NSR. The ablation worked.
+Red Peg Hey Red, so were you just in atrial flutter and that required CV? And you eventually had an ablation? Did you also have AFiB? I had an ablation in Nov 2014 for AFiB. I never had to go thru any cardioversions during my one year in and out of AFiB, so I guess I was fortunate. Also, my AFiB was limited to irregular HR, never high or fast HR.
After 7 ER visits (receiving IV drugs to control my HR) the cardiologist FINALLY sent me to the Electrophysiologist (Dr Berman in the video) The only reason I had a cardioversion was because I was scheduled to have an ablation (which required that heart meds should stopped X# of days before procedure) the next day. A year later I was DX'd AFib and had another ablation. I have had NO problems since. I'm feeling great!! (Thanks to Dr Berman!)
Awesome video! Not as scary as I imagined it to be. Went very smooth! I'm waiting to have the Cryoballoon Ablation Procedure for my A-Fib! Usually, I would have a breakthrough, which would last within a few minutes and my heart would convert automatically on its own. However, on June 11, 2016, I was in A-Fib for more than 14 hours. This is the first time ever. So, I can't wait for my procedure. Actually I look forward to it since I hate taking any pills; that includes OTC as well. I'm glad that your ablation worked out great for you. I'm hoping for the same as well.
I love how you all kept the patient in good spirits and explained what was going on in a gentle way. You guys seem to make it less scary with your excellent bedside manner. The patient was a trooper and was calm throughout too. I appreciate her permitting the filming as it was an excellent learning experience.
I had this procedure on Saturday 12-01-2019 and they used 150 joules and one charge on me and it was 100% successful. I went out in a blink and I didn’t feel anything and when I came round I felt absolutely perfect. I cannot thank the staff at Medway Maritime Hospital in Gillingham, Kent, UK enough for their care, Kindness and professionalism.
I had cardioversion 2 days ago . I am a U.K. resident. I now feel that I have a lot more energy now. I was in Atrial flutter for about 6 months. There is absolutely nothing to fear going through the Cardioversion procedure.Well done to the staff at Bournemouth Royal Hospital.Thanks.
I’m very pleased to say that after having a cardio version done five weeks ago I feel absolutely perfect again. As soon as I woke up I felt normal again. Strange as it might be to say, It wasn’t a bad experience and watching this video a few times prior to my cardio version it took away all of my worries about having it done. If any members of staff at Medway Maritime Hospital who looked after me that day should see this video, A massive thank you to all of the staff who dealt with me.
So I watched this again... it's me in the video. I am reporting my heart health: ALL IS WELL. My ablation the next day was successful and have not had any problems with my heart ever since. Thank you GRU, Dr Bermin and the hospital staff. (Now my arthritis... sigh...)
This video boosted my confidence when I was facing a cardio version a few weeks ago which restored my heart rhythms perfectly. Thank you for posting it.
Thanks Peggy and the entire staff for allowing us to follow your procedure and learning along the way. As a medic student working through cardiology at the moment, it was very insightful to see the procedure. Glad to hear you are doing well. Again, thanks to all.
just let you know - i'm the 56 yr old patient in this video. (former cardiac nurse, ironic, no?? LOL)the electrophysiologist, Dr Berman, said stop taking toprol a week before my scheduled ablation. when a-flutter started again - i told the ER staff to not give me adenosine or any other drug -- i called Dr Berman & told him i was going to the ER; he met me there and made sure that i would get no drugs -- only cardioversion would & did get me back to NSR. After my ablation, i've been free of afib flutter ever since! all is good!! thank you Dr Berman and GRU staff now 2016 - i'm feeling great! thank yiu Dr Berman and GRU staff!!
Red Peg im glad you're doing better. I'm a 44 year old, had an ablation late September 2016 for arrythmia and atrial flutter. I still palpitations but the electrophysiologist said i should be fine, that he didn't find anything else. he's going to have me wear a Holter monitor to see if everything is ok. I'm hoping and praying everything is good.
It was more of a danger to suddenly stop taking the beta blocker than anything else. Some really wild stuff can happen when you drop a beta blocker cold turkey. I did it after 46 years on Inderal. scary stuff.
Thank you for sharing your experiences! I'm in Med Surg 2, studying ECG/cardiac and this video, along with your updates are a great learning experience for me.
In the ER this is such a delicate approach. In the field, paramedics do this when the patient is NOT stable. This patient is conscious, alert, and oriented, and vitals are stable. They do this to aleviate her palpitations and chest pain. In the field this happens in a matter of seconds.... and if the patient is so critical, we don't have time to sedate. Glad to see the patient did well and has come back to the thread and update viewers.
The golden rule for me when I do this is : don't forget to hit the SYNC button.!!! synchronized cardioversion hits on the R waves and it is surprisingly safe. Defibrillation is when you don't hit the sync button and that is much more dangerous. If you are doing this emergently, because they are crashing, it's possible to forget to hit the sync button. Wonderful video as always, love your videos. they are very , very , veryhelpful for healthcare workers all over the world!!! we are very grateful to you and your institution!! keep posting!!!!
Thanks, so far so good. Two nights before my ablation I went into afib and then a-flutter taking 6 shocks to get back into normal sinus. My cardiologist decided to admit me for that night and the next night leading into my ablation. My cardiologist also said that it seemed the procedure was a success but that only time will truly tell. I really hope so because being cardioverted 6 times in 6 months was more than enough for me. I will be sure to keep everyone posted.
I just had it done 3 days ago. I remember going into the operating room and the ladies shaving a patch on my chest. I know I talked a little. I don't remember anything else--LOL! I don't remember any meds to put me asleep, or even waking up. Absolutely no pain. Instantly GREAT!!! Increased my Sotalol and had to spend 3 days in the hospital on the cardiac floor for observation since my medicine was changed. Not one bit of trouble or pain. My doctor said I was going to have a boring 3 days. I watched TV, walked around unit a lot, enjoyed visitors, doctors, nurses and technicians. The only negative thing was the "cardiac diet" -- YUK!!! LOL. Thanks to the medical team and thank you Lord.
I appreciate seeing this. I had Atrial Flutter from a combination of a meal and some unusual physical moves that put a lot of pressure on my stomach working on a home project. The medical experts refused to give me a Cardioversion. It took 8 months and a lot of screwed up medical actions before I got the ablation. I probably would have got even with the Cardioversion depending on how quickly the AFL returned. I had an acquaitance who had to take anti coagulants for a while before they would give him a cardioversion.
~ In 1995 I had a cardiac radio frequency ablation. It took over 8hrs. I had an absorption of twin that never developed. But my twin gave me 4 extra nerves into my heart. My heart was beating at times counter-clock-wise @ 240bpm. It was awful. After this ablation not knowing yrs later. They found I have a heart aneurysm. Some claim from this ablation. Now I am 60, and last yr had covid. They claim covid can give anyone A-fib even as early as age 25. So I had this cardio version done yesterday. My heart is beating normal. I PRAY my heart will not have any further issues. It is scary to always be concerned over your heart. I pray only good things happen to me, and for all of us always. Keep getting your check ups with your cardiologist we only get one heart, lets all take care of it. Blessings to you all. ~ 💜
Thank you SO much for this video! I just completed nursing school and passed my boards. I'm continuing to study things I was unsure of in school and didn't have time to review. This was very helpful!
My husband just got his third cardioversion for atrial fib and flutter. The cardiologist does not know how long he is going to be on sinus rhythm but recommends ablation. Very interesting video. Thanks
I agree with the patient, you guys are awesome. What a scary position to be in knowing you are about to be shocked. Glad you guys held her comfort in such high regard. I know it's not always possible.
I’m so pleased that I found this video as I’m having a cardio version on Saturday 12-01-2019 in my local hospital. I’ve had a bad year with afib after three Doctors in my local surgery failed to examine me and wrongly assuming that I was suffering from anxiety, I was not suffering from anxiety. My third consultation with a Doctor on 04-01-2018 didn’t help me as she prescribed me with Salamol. By this time I was suffering from serious breathing problems and heart and kidney failure due to atrial fibrillation and I ended up in A&E fifteen hours later and I was in Hospital for three days. So far this has ruined my life and I’m really hoping that my cardio version will sort me out.
Thank you to all of the people in the videos, especially the patient. I'm surprise that your hospital let you video the procedure but I'm so glad they did!
I'm getting ready for this in the early spring and these videos help ease my nervousness, as an engineer I have a need to understand, even if it is just a little, of what they are doing. I already have had a cardioversion that was unsuccessful and am doing ok with meds and losing weight. Very informative and quick.
i am the patient in this video - BTW, Dr Berman is the best! RGU (formerly known as MCG in Augusta,Ga) staff were all wonderful. i consented to this because as a nursing student oh so long ago, i learned from patients who allowed me to learn from them (when i got my BSN from GU, i worked as a cardiac nurse for 20 years (this is karma, no?).. so i wanted to give back. my ablation the following day was without complications and i have had no problems with my heart since. thank you, Dr Berman and the staff at RGU.
Peggy, I had this procedure done yesterday. Pretty painless. I thought it was funny that you said you were surfing the internet. I am a computer tech and was having problems moving my mouse as I came off of the Propofol. Propofol is an incredible drug in my eyes, amazing how sedation has changed over the years. P.S. Thank you for doing this video.. as I was asleep and didn't know what was actually happening.. haha
Terry Pendergrass thanks for the reply! as a former nursing student, i just wanted to "pay it forward." hope you are doing as well as i am. i'm feeling GREAT! WOOHOO!!
I hope this message reaches who it needs too. I had this procedure done this past Monday.. of course I was a little nervous about doing it.. I'm here to tell you I feel great I have so much energy right now It's almost silly lol... The first day your still under the Anastasia so take it easy. But after a good night's sleep my feet hit the ground running.. I the person reading this is having to have this done I'm here to tell you I believe it's worth it. Be strong. Be brave. And you will be the better for it ..😊
@@telinathomas Your welcome 🤗. At least for me when it was over and done it was like why was I worried so much . And it has done me a world of good... if you remember I'd like to know how you guys did..
Thank you. I’m an athlete who races the Mile but suddenly went into flutter which seems to have hammered ability to race such distances but that’s how I knew something was up. ECG confirmed. Now I’m waiting for CardioVersion and likely ablation to get back to feeling awesome again. I pretty much have none of the typical things that would trigger Atrial Flutter but nonetheless here it is so anyone reading this just stay chilled, know you can still function but then get the treatment and all will be good
I love EP Cardiologists. Special breed, those guys. I saw the woman in the video is doing well. That's great! YOU are why we go into cardiology! Best wishes!
Thank you so much for this Larry, Paramedic student just finished school this was awesome to see! Glad she converted with only the 50 joules 1st try! Interesting too, we learned 100j for regular rhythms per AHA protocol.
This video was a great help for me as I watched it and other several time before I had my Electro-cardioversion nearly a year ago now. One Zap and I've been good ever since. I had Atrial Flutter for 2 years during which time I would also have palpitations during which i would have to lay down otherwise risk fainting for lack of blood to my brain. When my condition was at it's worst I would have abdominal pains and perfuse sweating during the palpitations which sometimes lasted for a couple of hours. I didn't know about Electro-cardioversion when I first got the condition because I was in China then spent a lot of time in the Philippines and it was never offered or even suggested. I researched a lot on nutrition and took a lot of supplements & modified my diet which reduced the frequency & severity of the palpitations but I still was always in A-flutter. My cardioversion was a great success and now with the help of supplements and diet changes my health is better than it was before I first to the A-Flutter.
Did anyone ever give you an explanation for the abdominal pain. My wife has had 6 ablations for pvc's plus one for the vtac and she has started having severe abdominal pains and everyone basically says she's imagining it. I wish I could find a decent doctor for her before she gives up.
I got cardioversion last year after a heart valve surgery. When I woke up I had a "dream" that I was in a party and thought I had a purple drink in my hand.... saying cheers and stuff. Suddenly I was awake and asked the nurse if I had talked and she said "yes, and it made no sense... but don't worry about it, someone do that". Glad I don't know what I said 🙂
Thank you for sharing and to that brave lady for going on You Tube. I have been Cardioverted twice in Australia, it was very interesting to see what happens. Cheers
I use to be a Los Angeles County Emergency Paramedic in the 1970's (9 years). Then I went "back" into the Military and Flight School. My specialty and strength as a Paramedic was Cardiology. I was fascinated with it and I was good. When I retired after 26 years I flew EMS helicopters for 8 years. From what I was trained to perform in the 1970's vs what the EMS Medics can do today is night and day. I was old school Rampart squad 51 abilities. This is amazing to me.
Having my fourth cardioversion in a few days with two ablations performed between previous cardioversions. My issue is with A-flutter, not AFib. I’m 77 years old and starting to wonder about my future given all the failed electrical procedures my heart has undergone. Words of encouragement please!
Thanks alot Larry for this video, it helped me alot before I see this video I thought the cardioversion is a big deal but after I have seen this video I have incarriged and I have done it about ten days ago in Maasstad hospital in Rotterdam - Holland, also the staff is was very great and since the time I made it ten days ago till this moment my heart rythem is very normal.
She had been taken off her medications in preparation for the ablation when the atrial fibrillation suddenly started again. I don't recall the details of the discussion, but it was the cardiologist's decision to have her put back into sinus rhythm prior to the procedure.
Good question. The decision to go to cardioversion was actually her cardiologist who is in the video. It may have been personal preference on his part or previous failure(s) with adenosine.
@tomcolegrove5491......How did you do with your Cardioversion ? I am having it done on 5/28/24 and I am plenty scared. I absolutely hate being put to sleep and I am afraid this Cardioversion may cause me to have a stroke or heart attack.
@@debrascott8492I was scared of the same thing, but it went well. I feel a lot better now that my heart is beating properly. You will have a burn though, but it's not too bad.
Thanks for the info Dr. Mellick. Don't have heart problems like this but if pushed to get the propofol I would take it. Recovery from it is almost incredible!
I am due for Abaltion on 15/3/2017, SVT, and am am not nervous about anything now, my big concern was no meds for 5 days, and that if I had an emergency I would be given drugs and have to start over! Thank you for sharing.
Thank you for sharing this video. I will be having this procedure this coming thursday and at least I have the idea what's going on that they will do and reducing my anxiety nervous feelings... thanks again!
wonderful video, useful for medical personnel all over the world. One comment, this was done but not spoken. Concerning conscious sedation, i always know EXACTLY where the oral airway is and the equipment to bag is ready to be used. Always prepare to bag someone thru conscious sedation. The worst thing is when its in some drawer somewhere and you are all fumbling around looking for it or tubes dont connect easy as the pt is desatting. Prepare for the worse, because it will happen.
Just a few other points for viewers from an educational point of view : -this wasnt a "sedation" but rather a short general anesthetic. In ER "procedural sedation" implies sedation where the patient is able to maintain airway and oxygenation (checking for an absent blink reflex as in the video implies a deeper target level of sedation than this) -the drop in O2 sats could have been prevented by pre-oxygenating the patient and should be done in any patient before this level of anesthesia is attempted
Yes, it is safe. Any of these procedures can have the usual complications, but if you need to have it done, I would go for it. If you have concerns, be sure to get a second opinion.
I had this same procedure for the same reason except mine had been in flutter for over a month and had sent me into congestive heart failure. Don't be afraid of this get it done of they recommend it, you won't remember a thing! I am scheduled for ablation tomorrow.
don't see why they need anaesthesia, watched someone do it without, pt. was fine. not everyone is a wuss. I'd rather be awake and aware, as I have this problem also.
So glad you're ok, this is so scary. You handled it like a pro. Just recently, my heart started racing from time to time. It's such a scary-uncomfortable feeling. I was told this is caused by my meds...I've had 3 ekg's, and the cardiologist that read my results, said he was concerned enough for me to repeat it. There have been 2 separate episodes where my heart was racing so fast, I felt like I was going to faint, but thank God I did not. The ordering MD, has not referred me to any kind of specialist for this, which is confusing to me. She just told me to follow up with her at her next available appt which is in 3 months and is slowly tapering me off my meds. I don't know what to do, should I get in to see a cardiologist on my own (w/out her referral) or just wait to follow up with her in 3 months? I certainly don't want this to become permanent or to be the cause other medical issues. I am only 43. Any advice would be much appreciated. Thanks for posting this.
I'm glad your doing well ☺️ and no more issues and I have Cardiomyopathy and heart failure due to COVID 19 Viruses in my heart. Lynn Deatherage who has a cardiologist in Minnesota and a neighbor had the same problem and had her heart shocked
@@nickobrien2478 nope it's not. It's due to gops supporters who refused to wear a god-damned 😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷🎭🎭🎭 MASKS!!! Lying assholes gops supporters and lawmakers who lies like dogs faces. Abusing the ADA for only disabled people. Not for abled bodies gops supporters and lawmakers in USA and Minnesota as well.
One writer claims that I am lying about have cardiomyopathy and heart failure since 2020. Due to you republican supporter's in St.Paul Minnesota who hates wearing the mask 😷 which the CDC and MDH as well said wear a mask 😷 outside and inside the schools and stores drug stores clinics and pharmacy etc. Al I don't lie about it. I following my heart doctor advice not luck the rest who don't following there doctor advice.
Cont- is a rare luxury. He told me to cut out caffeine, get more sleep, stop smoking (which I should get my ass kicked for ever having started) and get regular exercise including a proper cardio workout. When I do get that flutter sensation, almost like riding a roller coaster and you get that "light" feeling in your chest- I'll go for a short run- usually knocks it out. But it won't be completely diagnosed until you go to a Dr. PVC's and PAC's are quite common and nothing really to worry about-
It wasn't per cardiologist's call. I think POV not EMS. The patient posted a little more detailed history below about 3 months ago. "Adenosine was given in previous ER visits to stop a-flutter & Multaq was prescribed after the 4 th ER visit. Obviously it didn't work. This was the 8th ER admission. Dr Berman (in video) was scheduled to do an ablation on the patient the next day (which the patient had to stop taking: toprol 25 mg sr qd 3 days before ablation..pt had no other health issues)."
I had this yesterday. Everyone at Stonecrest Hospital were above and beyond amazing. I gad a pad on my back and chest and this video doesn't say anything about back pad. I have slight irritation on my back. Had Afib for 7 days. Glad to be back to NSR today.
Thank you so much for a quick answer that I can understand! I spent 5 days in ICU intubated after the arrest (understand that I was VERY sick when they gave me the pro____ and it was given too quickly). My O2 on room air runs 96-97 and I don't use oxygen at all. Hope I don't end up intubated! Thanks so much again!!
Thank you for sharing this! That patient could be me - I have flutter and it normally runs 170 - 180 bpm. Always wondered what it looked like! So far I have had 8 cardioversions.
+Franklin Mena The electrophysiologist that I had left the practice unexpectedly shortly after my ablation, so I've had to start from square one with a new EP. Hopefully we'll get it fixed soon so I don't have to go the emergency room to be cardioverted monthly! No ICD so far, and it's not been brought up as an option. A second ablation or trying various drugs have been the only two options discussed.
Many thanks for posting this. My mother will undergo this procedure in a few days and it helped me to understand how it Works and what it feels like. Is there any point where, even though the patient has suffered an acute lung edema and has atrial fibrillation you wouldn´t recommend a cardioversión?
PVC's (premature ventricular contractions) are very common. I get them regularly, on some days several times a day (in the hundreds). It freaked me out the first time I ever felt it, then the more you freak out about it, the more it happens and the cycle begins) I had the battery of tests performed on me, including 12-lead, stress tests.. well, you name it. During the interview- my Doc asked me how I sleep. First thing I told him was that, I am a Firefighter/Paramedic and on some nights sleep
A-fib has an atrial rate of 300-700 bpm as compared to 250-350 in atrial flutter.The biggest difference is that A-fib can cause blood clots that can result in MI, strokes, and/or blood clots in the lungs. Additionally, A-fib requires the use of anti-coagulants if fibrillation is longer than 48 hrs (Coumadin). If less than 48 hrs, then it's treated with digitalis, calcium channel blockers, beta-blockers, amiodarone or electrical conversion as you just saw.
Very interesting and useful video. For several years, I have 2-3 episodes of atrial flutter every year that can only be removed by cardioversion. I already have 7 such procedures since 2011 until now. Although, I know the radical solution is flutter ablation, but I wonder if someone has come out of the fluter (always type 2: 1 for me) with an IV antiarrhythmic drug? It seems incredible to me not to have a safe chemical conversion for this terriying atrial flutter!
I guess it's always going to be in the back of my mind. Now that I've seen this video and know that it can be fixed if it comes back and is bothersome gives me a bit of relief.
I had 4 cardio versions over a few years. 1 maze procedure, one ablation and lots of different meds. I finally had a pacemaker in 2019. Thank God, I don’t feel a-fib, if I’m in it. Pacer set at 70 bpm. Cardio version is scary but over so quickly.
Thank you for the informative videos. I may have missed it, but in order to prevent trauma to the tongue or soft tissues of the mouth, two soft bite blocks should be placed once the patient has reached a sufficient level of anesthetic depth.
I had a heart attack 6 yrs ago. It has caused severe PTSD with me. Just watching stuff like this causes severe anxiety issues. Watching this caused me to have a panic attack. It's really ridiculous that I should get a panic attack because of watching stuff like this.
This is a great video. I have afib and have been on verapamil for 2 years. Over the past month I have been miserable. I feel I am in constant Afib. I get to wear a halter again this week to see what has changed. It is strange though because my EKG showed me in bradycardia yesterday. I cannot wait to get some answers.
Dr Mellic, thanks for the video, but I have one question. Why did you cardiovert this pt when she's not hemodynamically unstable? Shouldn't you just control the rate pharmacologically?
I've been doing some research on cardioconversion and ablation procedures. This procedure is not without significant risk. The older the patient the more risk usually. The amazing thing is that every clinic in the country now seems to be making a ton of money from cardioconversion, because the first attempt usually fails after a few days or weeks. As for the ablation for this lady, I would have delayed it until it was determined whether this cured her problem along with proper meds.
Thanks, everything seem to go well,l i'm back in sinus rhythm, hope it stays there for a while, They did a transesophageal echocardiogram to check for blood clots in the heart and my throats a little sore. Other than that all is good. My thanks to Dr Loli from Biltmore Card and the great nursing staff at Banner Good Sam in Phoenix
I'm doing much better, thank you! I ended up having two cardiac ablations and two cardio versions in a two months span. Spent two weeks in the hospital. Feeling great now!
Going to have an ablation done next Wednesday. Over the past 6 months I have had to be cardioverted 5 times. This last time (last Friday) it took them shocking me 9 times before my heart got the idea. I remember before they knocked me out my pulse was between 180 and 195 in afib. After my 5th shock the dr said I went into a-flutter with a rate of 250 bpm. As others have said even though you are out of it you can still feel it and it defiantly doesn't feel nice.
Not a physician, but in my experience it seems this is more important during RSI and intubation, depending on the drug conscious sedation can be performed well without preoxygenation, e.g. w/ ketamine, great drug for this as there's a lower threshold for RR as I understand it, you can keep giving it and it won't depress it further. I have heard propofol has a good amount of 'give' to it in this respect also. But I'll let the doc speak for his procedure until I get through med school :)
Lol, 1:38 = clearly the best thing to say in front of a conscious cards pt., ever. Might be planning on the dissociation from the propofol perhaps just a little tooo much...seeing as you haven't pushed it yet :) And yes I concur, the nurses in your ED are adorable, especially the one in red!
Larry Mellick I'm curious, though. How long was she out for? The jump cuts of the video make it hard to tell, but it seemed like she was out for quite a bit.
I'm the person (victim) in this video. It's been quite a long time since this happened (now 2016). GRU Emergency team were great and Dr Berman AWESOME. As a former cardiac nurse, I knew what was going on. I want you to tell you that I have had no further cardiac episodes - I'm in NSR. The ablation worked.
+Red Peg Hey Red, so were you just in atrial flutter and that required CV? And you eventually had an ablation? Did you also have AFiB?
I had an ablation in Nov 2014 for AFiB. I never had to go thru any cardioversions during my one year in and out of AFiB, so I guess I was fortunate.
Also, my AFiB was limited to irregular HR, never high or fast HR.
Glad to know Ms Peg. Keep NSR. 😊
i'm cured Ablation was successful
After 7 ER visits (receiving IV drugs to control my HR) the cardiologist FINALLY sent me to the Electrophysiologist (Dr Berman in the video) The only reason I had a cardioversion was because I was scheduled to have an ablation (which required that heart meds should stopped X# of days before procedure) the next day. A year later I was DX'd AFib and had another ablation. I have had NO problems since. I'm feeling great!! (Thanks to Dr Berman!)
Awesome video! Not as scary as I imagined it to be. Went very smooth! I'm waiting to have the Cryoballoon Ablation Procedure for my A-Fib! Usually, I would have a breakthrough, which would last within a few minutes and my heart would convert automatically on its own. However, on June 11, 2016, I was in A-Fib for more than 14 hours. This is the first time ever. So, I can't wait for my procedure. Actually I look forward to it since I hate taking any pills; that includes OTC as well. I'm glad that your ablation worked out great for you. I'm hoping for the same as well.
I love how you all kept the patient in good spirits and explained what was going on in a gentle way. You guys seem to make it less scary with your excellent bedside manner. The patient was a trooper and was calm throughout too. I appreciate her permitting the filming as it was an excellent learning experience.
Thank you!
My brother had the cardioversion last July and today the heart ablation. I’m here to see what he’s gone through. Thank you for sharing your experience
You are so welcome
I had this procedure on Saturday 12-01-2019 and they used 150 joules and one charge on me and it was 100% successful. I went out in a blink and I didn’t feel anything and when I came round I felt absolutely perfect. I cannot thank the staff at Medway Maritime Hospital in Gillingham, Kent, UK enough for their care, Kindness and professionalism.
Nice to know what I will be going through soon !
I had cardioversion 2 days ago . I am a U.K. resident. I now feel that I have a lot more energy now. I was in Atrial flutter for about 6 months. There is absolutely nothing to fear going through the Cardioversion procedure.Well done to the staff at Bournemouth Royal Hospital.Thanks.
I’m very pleased to say that after having a cardio version done five weeks ago I feel absolutely perfect again. As soon as I woke up I felt normal again. Strange as it might be to say, It wasn’t a bad experience and watching this video a few times prior to my cardio version it took away all of my worries about having it done. If any members of staff at Medway Maritime Hospital who looked after me that day should see this video, A massive thank you to all of the staff who dealt with me.
So I watched this again... it's me in the video. I am reporting my heart health: ALL IS WELL. My ablation the next day was successful and have not had any problems with my heart ever since. Thank you GRU, Dr Bermin and the hospital staff. (Now my arthritis... sigh...)
Cool! Thanks for the follow-up! Sorry about the arthritis!
Larry Mellick managing well. I'm finding the best foods to eat to help- cherries!
thank you
Is it Berman or Bermin?
peggy081056 so glad you are well.
This video boosted my confidence when I was facing a cardio version a few weeks ago which restored my heart rhythms perfectly. Thank you for posting it.
Thanks Peggy and the entire staff for allowing us to follow your procedure and learning along the way. As a medic student working through cardiology at the moment, it was very insightful to see the procedure. Glad to hear you are doing well. Again, thanks to all.
just let you know - i'm the 56 yr old patient in this video. (former cardiac nurse, ironic, no?? LOL)the electrophysiologist, Dr Berman, said stop taking toprol a week before my scheduled ablation. when a-flutter started again - i told the ER staff to not give me adenosine or any other drug -- i called Dr Berman & told him i was going to the ER; he met me there and made sure that i would get no drugs -- only cardioversion would & did get me back to NSR. After my ablation, i've been free of afib flutter ever since! all is good!! thank you Dr Berman and GRU staff
now 2016 - i'm feeling great! thank yiu Dr Berman and GRU staff!!
Red Peg im glad you're doing better. I'm a 44 year old, had an ablation late September 2016 for arrythmia and atrial flutter. I still palpitations but the electrophysiologist said i should be fine, that he didn't find anything else. he's going to have me wear a Holter monitor to see if everything is ok. I'm hoping and praying everything is good.
Holter Monitor is good. I've had 2 ablations- one for Afib - the other for A flutter. Still no palpitations!
It was more of a danger to suddenly stop taking the beta blocker than anything else. Some really wild stuff can happen when you drop a beta blocker cold turkey. I did it after 46 years on Inderal. scary stuff.
Thank you for sharing your experiences! I'm in Med Surg 2, studying ECG/cardiac and this video, along with your updates are a great learning experience for me.
pipedreams57 for real I stopped for a couple days
In the ER this is such a delicate approach. In the field, paramedics do this when the patient is NOT stable. This patient is conscious, alert, and oriented, and vitals are stable. They do this to aleviate her palpitations and chest pain. In the field this happens in a matter of seconds.... and if the patient is so critical, we don't have time to sedate. Glad to see the patient did well and has come back to the thread and update viewers.
The golden rule for me when I do this is : don't forget to hit the SYNC button.!!! synchronized cardioversion hits on the R waves and it is surprisingly safe. Defibrillation is when you don't hit the sync button and that is much more dangerous. If you are doing this emergently, because they are crashing, it's possible to forget to hit the sync button. Wonderful video as always, love your videos. they are very , very , veryhelpful for healthcare workers all over the world!!! we are very grateful to you and your institution!! keep posting!!!!
Thanks genius
@@patkelly6349 isnt pat a girls name? Wait, kelly is a girls name too!
Thanks, so far so good. Two nights before my ablation I went into afib and then a-flutter taking 6 shocks to get back into normal sinus. My cardiologist decided to admit me for that night and the next night leading into my ablation. My cardiologist also said that it seemed the procedure was a success but that only time will truly tell. I really hope so because being cardioverted 6 times in 6 months was more than enough for me. I will be sure to keep everyone posted.
Did it worked?
How are you now
I just had it done 3 days ago. I remember going into the operating room and the ladies shaving a patch on my chest. I know I talked a little. I don't remember anything else--LOL! I don't remember any meds to put me asleep, or even waking up. Absolutely no pain. Instantly GREAT!!!
Increased my Sotalol and had to spend 3 days in the hospital on the cardiac floor for observation since my medicine was changed. Not one bit of trouble or pain. My doctor said I was going to have a boring 3 days. I watched TV, walked around unit a lot, enjoyed visitors, doctors, nurses and technicians. The only negative thing was the "cardiac diet" -- YUK!!! LOL.
Thanks to the medical team and thank you Lord.
I appreciate seeing this. I had Atrial Flutter from a combination of a meal and some unusual physical moves that put a lot of pressure on my stomach working on a home project. The medical experts refused to give me a Cardioversion. It took 8 months and a lot of screwed up medical actions before I got the ablation. I probably would have got even with the Cardioversion depending on how quickly the AFL returned. I had an acquaitance who had to take anti coagulants for a while before they would give him a cardioversion.
~ In 1995 I had a cardiac radio frequency ablation. It took over 8hrs. I had an absorption of twin that never developed. But my twin gave me 4 extra nerves into my heart. My heart was beating at times counter-clock-wise @ 240bpm. It was awful. After this ablation not knowing yrs later. They found I have a heart aneurysm. Some claim from this ablation. Now I am 60, and last yr had covid. They claim covid can give anyone A-fib even as early as age 25. So I had this cardio version done yesterday. My heart is beating normal. I PRAY my heart will not have any further issues. It is scary to always be concerned over your heart. I pray only good things happen to me, and for all of us always. Keep getting your check ups with your cardiologist we only get one heart, lets all take care of it. Blessings to you all. ~ 💜
Thank you SO much for this video! I just completed nursing school and passed my boards. I'm continuing to study things I was unsure of in school and didn't have time to review. This was very helpful!
I'm a medic student, and this helped me a lot to understand cardioversion better. Thank you!
You are welcome!!
My husband just got his third cardioversion for atrial fib and flutter. The cardiologist does not know how long he is going to be on sinus rhythm but recommends ablation. Very interesting video. Thanks
I agree with the patient, you guys are awesome. What a scary position to be in knowing you are about to be shocked. Glad you guys held her comfort in such high regard. I know it's not always possible.
I’m so pleased that I found this video as I’m having a cardio version on Saturday 12-01-2019 in my local hospital. I’ve had a bad year with afib after three Doctors in my local surgery failed to examine me and wrongly assuming that I was suffering from anxiety, I was not suffering from anxiety. My third consultation with a Doctor on 04-01-2018 didn’t help me as she prescribed me with Salamol. By this time I was suffering from serious breathing problems and heart and kidney failure due to atrial fibrillation and I ended up in A&E fifteen hours later and I was in Hospital for three days. So far this has ruined my life and I’m really hoping that my cardio version will sort me out.
Thank you to all of the people in the videos, especially the patient. I'm surprise that your hospital let you video the procedure but I'm so glad they did!
It's a teaching hospital - as a nursing student and now a nurse, I wanted to "pay it forward"
Dr.Larry Mellick, all your videos are absolutely amazing!!
Shruti Mani Thanks!!
Dr. Shruti Mani Can it be used on me?
Thank you doctors and medical professionals for your wonderful work.
I'm getting ready for this in the early spring and these videos help ease my nervousness, as an engineer I have a need to understand, even if it is just a little, of what they are doing. I already have had a cardioversion that was unsuccessful and am doing ok with meds and losing weight. Very informative and quick.
I am from Recife in Brazil south america and i think that this video was great!!!
Thanks for sharing that with us down here in this part of the world.
i am the patient in this video - BTW, Dr Berman is the best!
RGU (formerly known as MCG in Augusta,Ga) staff were all wonderful. i consented to this because as a nursing student oh so long ago, i learned from patients who allowed me to learn from them (when i got my BSN from GU, i worked as a cardiac nurse for 20 years (this is karma, no?).. so i wanted to give back.
my ablation the following day was without complications and i have had no problems with my heart since. thank you, Dr Berman and the staff at RGU.
Peggy, I had this procedure done yesterday. Pretty painless. I thought it was funny that you said you were surfing the internet. I am a computer tech and was having problems moving my mouse as I came off of the Propofol. Propofol is an incredible drug in my eyes, amazing how sedation has changed over the years. P.S. Thank you for doing this video.. as I was asleep and didn't know what was actually happening.. haha
Terry Pendergrass thanks for the reply! as a former nursing student, i just wanted to "pay it forward." hope you are doing as well as i am. i'm feeling GREAT! WOOHOO!!
Still good?@@peggy081056
I hope this message reaches who it needs too. I had this procedure done this past Monday.. of course I was a little nervous about doing it.. I'm here to tell you I feel great I have so much energy right now It's almost silly lol... The first day your still under the Anastasia so take it easy. But after a good night's sleep my feet hit the ground running.. I the person reading this is having to have this done I'm here to tell you I believe it's worth it. Be strong. Be brave. And you will be the better for it ..😊
thanks , i am gonna accept to do one not sure when . keep you posted
@@housbinpharteen7445 I'm sure everything will go fine... But ya.. it would be nice to hear how it went
Thank you, my mom is not for sure if she wants to do this or stay on heart medication I have to make the decision cause she don't want to she's 77
@@telinathomas Your welcome 🤗. At least for me when it was over and done it was like why was I worried so much . And it has done me a world of good... if you remember I'd like to know how you guys did..
Thank you. I’m an athlete who races the Mile but suddenly went into flutter which seems to have hammered ability to race such distances but that’s how I knew something was up. ECG confirmed. Now I’m waiting for CardioVersion and likely ablation to get back to feeling awesome again. I pretty much have none of the typical things that would trigger Atrial Flutter but nonetheless here it is so anyone reading this just stay chilled, know you can still function but then get the treatment and all will be good
I love EP Cardiologists. Special breed, those guys. I saw the woman in the video is doing well. That's great! YOU are why we go into cardiology! Best wishes!
Now a lot of EP cardo are not MD's but Rn's.
Thank you so much for this Larry, Paramedic student just finished school this was awesome to see! Glad she converted with only the 50 joules 1st try! Interesting too, we learned 100j for regular rhythms per AHA protocol.
This video was a great help for me as I watched it and other several time before I had my Electro-cardioversion nearly a year ago now. One Zap and I've been good ever since.
I had Atrial Flutter for 2 years during which time I would also have palpitations during which i would have to lay down otherwise risk fainting for lack of blood to my brain. When my condition was at it's worst I would have abdominal pains and perfuse sweating during the palpitations which sometimes lasted for a couple of hours. I didn't know about Electro-cardioversion when I first got the condition because I was in China then spent a lot of time in the Philippines and it was never offered or even suggested.
I researched a lot on nutrition and took a lot of supplements & modified my diet which reduced the frequency & severity of the palpitations but I still was always in A-flutter.
My cardioversion was a great success and now with the help of supplements and diet changes my health is better than it was before I first to the A-Flutter.
Michael Jenkins Cool! Thanks for your comments.
Did anyone ever give you an explanation for the abdominal pain. My wife has had 6 ablations for pvc's plus one for the vtac and she has started having severe abdominal pains and everyone basically says she's imagining it. I wish I could find a decent doctor for her before she gives up.
@rickjames4882 i really hate drs who say that.. they should know better. LISTEN TO UR PTS
I got cardioversion last year after a heart valve surgery. When I woke up I had a "dream" that I was in a party and thought I had a purple drink in my hand.... saying cheers and stuff. Suddenly I was awake and asked the nurse if I had talked and she said "yes, and it made no sense... but don't worry about it, someone do that". Glad I don't know what I said 🙂
Thank you for sharing and to that brave lady for going on You Tube. I have been Cardioverted twice in Australia, it was very interesting to see what happens. Cheers
I use to be a Los Angeles County Emergency Paramedic in the 1970's (9 years). Then I went "back" into the Military and Flight School. My specialty and strength as a Paramedic was Cardiology. I was fascinated with it and I was good. When I retired after 26 years I flew EMS helicopters for 8 years. From what I was trained to perform in the 1970's vs what the EMS Medics can do today is night and day. I was old school Rampart squad 51 abilities. This is amazing to me.
Having my fourth cardioversion in a few days with two ablations performed between previous cardioversions. My issue is with A-flutter, not AFib. I’m 77 years old and starting to wonder about my future given all the failed electrical procedures my heart has undergone. Words of encouragement please!
Hope it went well. Sending hugs
This will b the one!!
Thank you for consenting for this video and thanks to the youtuber as well! God Bless you all
Glad this was helpful!
I am one week post op after a pacemaker insertion. I have had this treatment several times. So grateful I will not require it anymore.
Thanks alot Larry for this video, it helped me alot before I see this video I thought the cardioversion is a big deal but after I have seen this video I have incarriged and I have done it about ten days ago in Maasstad hospital in Rotterdam - Holland, also the staff is was very great and since the time I made it ten days ago till this moment my heart rythem is very normal.
Now THIS is how it should be done!! Pros!!
Glad you are better and no more episodes!!
👍👌🏻❤️
Wonderful video!! thank you all, from a medical student!
Glad it was helpful!
thank you patient for letting us nursing students see this .
Doctors and nurses are heroes
They truly are!
She had been taken off her medications in preparation for the ablation when the atrial fibrillation suddenly started again. I don't recall the details of the discussion, but it was the cardiologist's decision to have her put back into sinus rhythm prior to the procedure.
I really appreciate you posting all these videos. Thank you :)
Good question. The decision to go to cardioversion was actually her cardiologist who is in the video. It may have been personal preference on his part or previous failure(s) with adenosine.
Thanks for sharing this video. I'm getting cardioversion tomorrow morning and now I can go into it with a better understanding of what to expect.
Me too
@tomcolegrove5491......How did you do with your Cardioversion ? I am having it done on 5/28/24 and I am plenty scared. I absolutely hate being put to sleep and I am afraid this Cardioversion may cause me to have a stroke or heart attack.
@@debrascott8492I was scared of the same thing, but it went well. I feel a lot better now that my heart is beating properly. You will have a burn though, but it's not too bad.
@@debrascott8492 I have had several cardioversions and they have all gone well with no issues, it seems to be really common these days 6/8/2024
@@debrascott8492howd it end up going for you? Was it that bad or better then you expected?
Thanks for the info Dr. Mellick. Don't have heart problems like this but if pushed to get the propofol I would take it. Recovery from it is almost incredible!
I am due for Abaltion on 15/3/2017, SVT, and am am not nervous about anything now, my big concern was no meds for 5 days, and that if I had an emergency I would be given drugs and have to start over! Thank you for sharing.
Thank you for sharing this video. I will be having this procedure this coming thursday and at least I have the idea what's going on that they will do and reducing my anxiety nervous feelings... thanks again!
You are welcome!
wonderful video, useful for medical personnel all over the world. One comment, this was done but not spoken. Concerning conscious sedation, i always know EXACTLY where the oral airway is and the equipment to bag is ready to be used. Always prepare to bag someone thru conscious sedation. The worst thing is when its in some drawer somewhere and you are all fumbling around looking for it or tubes dont connect easy as the pt is desatting. Prepare for the worse, because it will happen.
Just a few other points for viewers from an educational point of view :
-this wasnt a "sedation" but rather a short general anesthetic. In ER "procedural sedation" implies sedation where the patient is able to maintain airway and oxygenation (checking for an absent blink reflex as in the video implies a deeper target level of sedation than this)
-the drop in O2 sats could have been prevented by pre-oxygenating the patient and should be done in any patient before this level of anesthesia is attempted
Even if the O2 saturation was normal?
Had it done yesterday with propofol and versed, it was considered a pro-sed as no intubation was required. However they did pre-oxygenate me.
Yes, it is safe. Any of these procedures can have the usual complications, but if you need to have it done, I would go for it. If you have concerns, be sure to get a second opinion.
Had this done a couple weeks ago. Piece of cake.
I had this same procedure for the same reason except mine had been in flutter for over a month and had sent me into congestive heart failure. Don't be afraid of this get it done of they recommend it, you won't remember a thing! I am scheduled for ablation tomorrow.
Yes, we did. End tidal CO2 monitoring and oxygen is typically used during procedural sedation.
it looks so easy and so fast, i would'nt think its painful at all , great job Dr and staff!!!
don't see why they need anaesthesia, watched someone do it without, pt. was fine. not everyone is a wuss. I'd rather be awake and aware, as I have this problem also.
I wasn't a wuss
Great staff, great patient. Thank you all. Nice job.
So glad you're ok, this is so scary. You handled it like a pro. Just recently, my heart started racing from time to time. It's such a scary-uncomfortable feeling. I was told this is caused by my meds...I've had 3 ekg's, and the cardiologist that read my results, said he was concerned enough for me to repeat it. There have been 2 separate episodes where my heart was racing so fast, I felt like I was going to faint, but thank God I did not. The ordering MD, has not referred me to any kind of specialist for this, which is confusing to me. She just told me to follow up with her at her next available appt which is in 3 months and is slowly tapering me off my meds. I don't know what to do, should I get in to see a cardiologist on my own (w/out her referral) or just wait to follow up with her in 3 months? I certainly don't want this to become permanent or to be the cause other medical issues. I am only 43. Any advice would be much appreciated. Thanks for posting this.
Thanks for filling in the gaps I had forgotten.
I'm glad your doing well ☺️ and no more issues and I have Cardiomyopathy and heart failure due to COVID 19 Viruses in my heart. Lynn Deatherage who has a cardiologist in Minnesota and a neighbor had the same problem and had her heart shocked
@@nickobrien2478 nope it's not. It's due to gops supporters who refused to wear a god-damned 😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷😷🎭🎭🎭 MASKS!!! Lying assholes gops supporters and lawmakers who lies like dogs faces. Abusing the ADA for only disabled people. Not for abled bodies gops supporters and lawmakers in USA and Minnesota as well.
@@nickobrien2478 no it's not
I just prayed for you. I hope all is well.
One writer claims that I am lying about have cardiomyopathy and heart failure since 2020. Due to you republican supporter's in St.Paul Minnesota who hates wearing the mask 😷 which the CDC and MDH as well said wear a mask 😷 outside and inside the schools and stores drug stores clinics and pharmacy etc. Al I don't lie about it. I following my heart doctor advice not luck the rest who don't following there doctor advice.
Excellent Video , Is a real use of Defibrillator, not only a simulation
Cont- is a rare luxury. He told me to cut out caffeine, get more sleep, stop smoking (which I should get my ass kicked for ever having started) and get regular exercise including a proper cardio workout. When I do get that flutter sensation, almost like riding a roller coaster and you get that "light" feeling in your chest- I'll go for a short run- usually knocks it out. But it won't be completely diagnosed until you go to a Dr. PVC's and PAC's are quite common and nothing really to worry about-
as a former cardiac nurse(i'm the victim in this video) , i knew all the tricks - i tried them all... the ablation worked.
i had two cardioversions for atrial fibrillation. I don't remember either procedures as they heavily sedated me. No more problems in the last 7 years.
Wow so interesting to observe thanks to the patient for allowing us to be witness to this procedure.
It wasn't per cardiologist's call. I think POV not EMS. The patient posted a little more detailed history below about 3 months ago. "Adenosine was given in previous ER visits to stop a-flutter & Multaq was prescribed after the 4 th ER visit. Obviously it didn't work. This was the 8th ER admission. Dr Berman (in video) was scheduled to do an ablation on the patient the next day (which the patient had to stop taking: toprol 25 mg sr qd 3 days before ablation..pt had no other health issues)."
I had this yesterday. Everyone at Stonecrest Hospital were above and beyond amazing. I gad a pad on my back and chest and this video doesn't say anything about back pad. I have slight irritation on my back. Had Afib for 7 days. Glad to be back to NSR today.
They talked about the placement of the pads by saying anterior posterior placement, anterior being on the front and posterior being on the back 😊
Thank you so much for a quick answer that I can understand! I spent 5 days in ICU intubated after the arrest (understand that I was VERY sick when they gave me the pro____ and it was given too quickly). My O2 on room air runs 96-97 and I don't use oxygen at all. Hope I don't end up intubated! Thanks so much again!!
Thank you for sharing this! That patient could be me - I have flutter and it normally runs 170 - 180 bpm. Always wondered what it looked like! So far I have had 8 cardioversions.
Eight? Wow! Do you have an ICD? I do. I've had two cardioversions and my ICD has fired on me 12 times. It was bloody awful!
+Franklin Mena The electrophysiologist that I had left the practice unexpectedly shortly after my ablation, so I've had to start from square one with a new EP. Hopefully we'll get it fixed soon so I don't have to go the emergency room to be cardioverted monthly! No ICD so far, and it's not been brought up as an option. A second ablation or trying various drugs have been the only two options discussed.
Many thanks for posting this. My mother will undergo this procedure in a few days and it helped me to understand how it Works and what it feels like. Is there any point where, even though the patient has suffered an acute lung edema and has atrial fibrillation you wouldn´t recommend a cardioversión?
Thanks! Great patient to allow this.
Best of luck! Thanks for the testimonial.
Just watching this video the team all are very professional and well done.
PVC's (premature ventricular contractions) are very common. I get them regularly, on some days several times a day (in the hundreds). It freaked me out the first time I ever felt it, then the more you freak out about it, the more it happens and the cycle begins) I had the battery of tests performed on me, including 12-lead, stress tests.. well, you name it. During the interview- my Doc asked me how I sleep. First thing I told him was that, I am a Firefighter/Paramedic and on some nights sleep
A-fib has an atrial rate of 300-700 bpm as compared to 250-350 in atrial flutter.The biggest difference is that A-fib can cause blood clots that can result in MI, strokes, and/or blood clots in the lungs. Additionally, A-fib requires the use of anti-coagulants if fibrillation is longer than 48 hrs (Coumadin). If less than 48 hrs, then it's treated with digitalis, calcium channel blockers, beta-blockers, amiodarone or electrical conversion as you just saw.
My heart used to flutter at night just before I sleep. Its fine now, Thank God.
Yes, I couldn't agree more. Thanks for the comments.
Wanted to add my thanks to the anesthesiologist, she did a great job with little after effects.
My doctor said I should not watch any of these coz of my anxiety, but my curiosity makes me watch and search for more.
Very interesting and useful video. For several years, I have 2-3 episodes of atrial flutter every year that can only be removed by cardioversion. I already have 7 such procedures since 2011 until now. Although, I know the radical solution is flutter ablation, but I wonder if someone has come out of the fluter (always type 2: 1 for me) with an IV antiarrhythmic drug? It seems incredible to me not to have a safe chemical conversion for this terriying atrial flutter!
I guess it's always going to be in the back of my mind. Now that I've seen this video and know that it can be fixed if it comes back and is bothersome gives me a bit of relief.
I had 4 cardio versions over a few years. 1 maze procedure, one ablation and lots of different meds. I finally had a pacemaker in 2019. Thank God, I don’t feel a-fib, if I’m in it. Pacer set at 70 bpm. Cardio version is scary but over so quickly.
I had 2 of these done Dr. Did a great job
Depends on your hospital. In our hospital nurses can't push, but can do an infusion. It's simple enough though as the ER doctor pushes.
What a great medical team! well done!!
Thanks!
Thank you for the informative videos. I may have missed it, but in order to prevent trauma to the tongue or soft tissues of the mouth, two soft bite blocks should be placed once the patient has reached a sufficient level of anesthetic depth.
I had a heart attack 6 yrs ago. It has caused severe PTSD with me. Just watching stuff like this causes severe anxiety issues. Watching this caused me to have a panic attack. It's really ridiculous that I should get a panic attack because of watching stuff like this.
Excellent! I am glad it was helpful.
This is a great video. I have afib and have been on verapamil for 2 years. Over the past month I have been miserable. I feel I am in constant Afib. I get to wear a halter again this week to see what has changed. It is strange though because my EKG showed me in bradycardia yesterday. I cannot wait to get some answers.
Dr Mellic, thanks for the video, but I have one question. Why did you cardiovert this pt when she's not hemodynamically unstable? Shouldn't you just control the rate pharmacologically?
She was scheduled to have an ablation the following day, so meds were to be avoided.
I've been doing some research on cardioconversion and ablation procedures. This procedure is not without significant risk. The older the patient the more risk usually. The amazing thing is that every clinic in the country now seems to be making a ton of money from cardioconversion, because the first attempt usually fails after a few days or weeks. As for the ablation for this lady, I would have delayed it until it was determined whether this cured her problem along with proper meds.
Wonderful Wonderful DrLarry and ur team.....please more &more videos....i am anesthetist
You are welcome! I'll keep working on more videos!
Thanks, everything seem to go well,l i'm back in sinus rhythm, hope it stays there for a while, They did a transesophageal echocardiogram to check for blood clots in the heart and my throats a little sore. Other than that all is good.
My thanks to Dr Loli from Biltmore Card and the great nursing staff at Banner Good Sam in Phoenix
Im currently a third year nursing student. after watching your videos I want to work with your team!
I'm going for my second one in an hour! Hopefully it works this time
How are you doing? Hope your second procedure worked.
I'm doing much better, thank you! I ended up having two cardiac ablations and two cardio versions in a two months span. Spent two weeks in the hospital. Feeling great now!
Thanks Larry, doing my masters in critical care paramedicine right now and enjoyed this video. Can you post more? Maybe an RSI? Thanks!
+Eadc Components Cool! Check out my channel. I have a lot of RSI videos.
This was great. For the first minute or so though I thought they were going to cardiovert a conscious patient!
Believe me, it fuckin' hurts! :D
Going to have an ablation done next Wednesday. Over the past 6 months I have had to be cardioverted 5 times. This last time (last Friday) it took them shocking me 9 times before my heart got the idea. I remember before they knocked me out my pulse was between 180 and 195 in afib. After my 5th shock the dr said I went into a-flutter with a rate of 250 bpm. As others have said even though you are out of it you can still feel it and it defiantly doesn't feel nice.
Not a physician, but in my experience it seems this is more important during RSI and intubation, depending on the drug conscious sedation can be performed well without preoxygenation, e.g. w/ ketamine, great drug for this as there's a lower threshold for RR as I understand it, you can keep giving it and it won't depress it further. I have heard propofol has a good amount of 'give' to it in this respect also. But I'll let the doc speak for his procedure until I get through med school :)
Lol, 1:38 = clearly the best thing to say in front of a conscious cards pt., ever. Might be planning on the dissociation from the propofol perhaps just a little tooo much...seeing as you haven't pushed it yet :)
And yes I concur, the nurses in your ED are adorable, especially the one in red!
Very informative. Thank you for posting this.
You are welcome and thanks to our patient who was willing to allow the video!
Larry Mellick I'm curious, though. How long was she out for? The jump cuts of the video make it hard to tell, but it seemed like she was out for quite a bit.
CeraisianAlchemist Actually a very short time. The video pretty much documents the entire procedure.
Oh okay.