title: Cardiac arrest associated with intravenous propofol during transesophageal echocardiography before DC cardioversion.
abstract: Transesophageal echocardiography (TEE)-guided cardioversion has been utilized as a feasible alternative to conventional anticoagulation strategies in the management of patients with atrial fibrillation. As such, the use of intravenous sedation protocols using relatively short-acting anesthetics, such as propofol, have gained popularity in the outpatient and inpatient settings for such procedures. The authors report a case of cardiac arrest and electromechanical dissociation associated with the use of intravenous propofol during TEE before direct current cardioversion for atrial fibrillation.
authors.affiliation: Noninvasive Cardiac Laboratory, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: Edmund A
authors.initials: EA
authors.lastname: Bermudez
authors.forename: Ming Hui
authors.initials: MH
authors.lastname: Chen
mesh_terms: D018686:Anesthetics, Intravenous / Q000008:administration & dosage / Q000009:adverse effects*; D001281:Atrial Fibrillation / Q000628:therapy; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock; D005260:Female; D006323:Heart Arrest / Q000139:chemically induced*; D006801:Humans; D007262:Infusions, Intravenous; D008875:Middle Aged; D015742:Propofol / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D018686:Anesthetics, Intravenous; D015742:Propofol