Copyright © 1982 by the European Society of Cardiology.
© 1982 by The European Society of Cardiology
Fentanyl-etomidate anesthesia for cardioversion
Departments of Cardiology and Anesthesiology, Sint Franciscus Gasthuis Rotterdam, The Netherlands
Received 30 May 1981; revised 11 August 1981; .
Requests for reprints to: F. Hagemeijer, MD, Sint Franciscus Gasthuis, Kleiweg 500, 3045 PM Rotterdam, The Netherlands.
Abstract
The effectiveness and safety of anesthesia with fentanyl and etomidate were evaluated in 44 patients undergoing elective cardioversion. No drop in blood pressure was observed; endotracheal intubation was never necessary, and ambu bag assisted ventilation was needed in only five patients. Anesthesia was induced within 7 min in all patients with a mean dose of0.9 mg of fentanyl and 15.4 mg of etomidate. After cardioversion, naloxone 0.2 mg intravenously was used to antagonize fentanyl; patients were fully awake on average 9 min after the last cardioversion discharge. Complete amnesia was observed in all patients, both 1 hour after cardioversion and the next morning.
For cardioversion, fentanyl-etomidate is as safe, more effective and less time-consuming than diazepam.
Key Words: Anesthesia • cardioversion • etomidate • fentanyl • naloxone
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