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Intravenous diazepam for direct-current cardioversion.

K Somers, R F Gunstone, A K Patel

    British Medical Journal
    |October 2, 1971
    PubMed
    Summary
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    Intravenous diazepam provides a simple and effective anesthesia for elective cardioversion. This method was successfully used in an African hospital with minimal adverse effects observed in patients.

    Area of Science:

    • Anesthesiology
    • Cardiology
    • Emergency Medicine

    Background:

    • Cardioversion requires anesthesia for patient comfort and safety.
    • Intravenous diazepam offers a readily available anesthetic option.

    Purpose of the Study:

    • To evaluate the efficacy and safety of intravenous diazepam for anesthesia during elective cardioversion.
    • To assess the feasibility of using diazepam in a resource-limited setting.

    Main Methods:

    • Fifty-six patients underwent elective cardioversion.
    • Anesthesia was induced using intravenous diazepam without special premedication.
    • Procedures were conducted in an African hospital.

    Main Results:

    • The method proved valuable for simpler cardioversion procedures.

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  • No significant hazards were encountered.
  • Transient apnoea occurred in two patients, and one patient experienced persisting amnesia.

    • Conclusions:

    • Intravenous diazepam is a suitable and safe anesthetic for elective cardioversion.
    • The method is effective even without extensive drug preparation or premedication.
    • It represents a practical choice for cardioversion in various healthcare settings.