itchiness after cardioversion What do you all do to help the itch from the burns after cardioversion? Silver Sulfadiazine cream has helped before but is not presently. Anyone have ideas? https://www.afibbers.org/forum/read.php?9,177371,177371#msg-177371 Sat, 12 Sep 2026 10:24:29 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,177371,177559#msg-177559 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177559#msg-177559 smackman AFIBBERS FORUM Sat, 03 Oct 2020 11:34:25 +0000 https://www.afibbers.org/forum/read.php?9,177371,177422#msg-177422 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177422#msg-177422 NotLyingAboutMyAfib AFIBBERS FORUM Sat, 26 Sep 2020 21:29:04 +0000 https://www.afibbers.org/forum/read.php?9,177371,177417#msg-177417 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177417#msg-177417
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NotLyingAboutMyAfib
Propofol IS the vacation.

HAHAHA. yea I wish I had had that line...]]> bettylou4488 AFIBBERS FORUM Sat, 26 Sep 2020 18:42:17 +0000 https://www.afibbers.org/forum/read.php?9,177371,177398#msg-177398 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177398#msg-177398 Propofol IS the vacation.]]> NotLyingAboutMyAfib AFIBBERS FORUM Fri, 25 Sep 2020 14:43:15 +0000 https://www.afibbers.org/forum/read.php?9,177371,177397#msg-177397 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177397#msg-177397
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Carey
Ah, the three tries probably explains it. The usual protocol would be to start with 100J then go to 200J and then 360J if it didn't work. So you took three shocks to the same two small patches of skin with the last one being the highest power they use. Probably no surprise you've got some irritation.

The fentanyl and etomidate are a bit unusual but protocols on what to use vary a lot in ERs across the US. Propofol is the most common choice but some hospitals require the ER doc to get an anesthesiologist involved to use propofol, so it's just quicker and easier for the ER to use other drugs.

During my itching induced insomnia last night I was actually thinking that.. that maybe they went up and up. I have a GP appt at 1145 virtually to see if there is a magic cream I don't know about lol. I tried a Benadryl..t hen took a half a tiny Xanax to sleep. kind of. I am whining now but I miss my morning decaf. I figured I wouldn't spit. into the wind even with decaf right now. having tea.. blah. LOL.

I have had the propofol other places but this place has always done the etomidate. I have had anesthesia issues (although never with these two.). There was actually anesthesia there in the room. Along with 50 more of my closest friends. While they administered it they said, "where do you want to go on vacation?" I was like-- we can't go on vacation anywhere now.. hahaha.]]> bettylou4488 AFIBBERS FORUM Fri, 25 Sep 2020 14:41:33 +0000 https://www.afibbers.org/forum/read.php?9,177371,177396#msg-177396 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177396#msg-177396
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NotLyingAboutMyAfib
While we're at it anyone seen the cost related to an ECV?

I think it's about $4700 here in Texas.

That's the fantasy price hospitals bill everything at. It's like how they bill $200K for an ablation but accept payment of less than $40K. No insurance company would pay anywhere near that for a cardioversion. As a general rule of thumb they'll pay about 20 to 30 cents on the dollar. As I recall, I was billed similar amounts but the hospital accepted payments of around $500-$600.]]> Carey AFIBBERS FORUM Fri, 25 Sep 2020 14:29:01 +0000 https://www.afibbers.org/forum/read.php?9,177371,177394#msg-177394 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177394#msg-177394
I think it's about $4700 here in Texas.]]> NotLyingAboutMyAfib AFIBBERS FORUM Fri, 25 Sep 2020 13:41:02 +0000 https://www.afibbers.org/forum/read.php?9,177371,177393#msg-177393 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177393#msg-177393 NSR didn't last long after each attempt. I stayed in afib till the next day around 6 AM. I had burns on my skin and painful ribs (left side).]]> Pompon AFIBBERS FORUM Fri, 25 Sep 2020 12:35:35 +0000 https://www.afibbers.org/forum/read.php?9,177371,177391#msg-177391 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177391#msg-177391
The fentanyl and etomidate are a bit unusual but protocols on what to use vary a lot in ERs across the US. Propofol is the most common choice but some hospitals require the ER doc to get an anesthesiologist involved to use propofol, so it's just quicker and easier for the ER to use other drugs.]]> Carey AFIBBERS FORUM Fri, 25 Sep 2020 05:42:28 +0000 https://www.afibbers.org/forum/read.php?9,177371,177385#msg-177385 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177385#msg-177385 bettylou4488 AFIBBERS FORUM Fri, 25 Sep 2020 02:26:08 +0000 https://www.afibbers.org/forum/read.php?9,177371,177384#msg-177384 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177384#msg-177384 i.postimg.cc]

I recommend the 4% linocaine burn gel and the calamine plus. Cvs has it and Instacart delivered it to me within 45 minutes. I always get burns or irritation lately especially if the joules are >50. However lately I speculate it’s the adhesive I am allergic to because Los Robles Hospital pads are different than the local ER I used to go to and I never got irritated over 24 ECV’s the other times elsewhere.]]> susan.d AFIBBERS FORUM Fri, 25 Sep 2020 02:00:22 +0000 https://www.afibbers.org/forum/read.php?9,177371,177381#msg-177381 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177381#msg-177381 The Anti-Fib AFIBBERS FORUM Thu, 24 Sep 2020 22:17:22 +0000 https://www.afibbers.org/forum/read.php?9,177371,177380#msg-177380 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177380#msg-177380 rocketritch AFIBBERS FORUM Thu, 24 Sep 2020 21:42:05 +0000 https://www.afibbers.org/forum/read.php?9,177371,177377#msg-177377 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177377#msg-177377
I guess I've got tough skin or I'm just lucky. I've been cardioverted 15-20 times, almost always with 100, which always worked with one shot, but a few times with 200J and once with 360J. None of those left any marks whatsoever. Oddly, the 200 and 360 were done by EPs; all the 100s were done by ER docs.]]> Carey AFIBBERS FORUM Thu, 24 Sep 2020 17:56:09 +0000 https://www.afibbers.org/forum/read.php?9,177371,177373#msg-177373 Re: itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177373#msg-177373
Aloe vera might help.]]> NotLyingAboutMyAfib AFIBBERS FORUM Thu, 24 Sep 2020 14:58:44 +0000 https://www.afibbers.org/forum/read.php?9,177371,177371#msg-177371 itchiness after cardioversion https://www.afibbers.org/forum/read.php?9,177371,177371#msg-177371 bettylou4488 AFIBBERS FORUM Thu, 24 Sep 2020 14:00:47 +0000