Intraoperative Broad Complex Tachycardia — FRCA Final MCQ

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ModerateGeneral AnaesthesiaIntraoperative Broad Complex TachycardiaFRCA Final

An anaesthetised patient develops broad complex tachycardia at 180 bpm, BP 78/45, with a pulse. Most appropriate initial management?

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Correct answer: C — Synchronised DC cardioversion 120-150 J biphasic

Haemodynamically unstable broad complex tachycardia with a pulse: immediate synchronised DC cardioversion per RCUK 2024. Adverse features (hypotension) mandate electrical cardioversion. Amiodarone second-line if cardioversion fails. Adenosine not for BCT unless confirmed SVT with aberrancy.

Reference: RCUK – 2024 – Adult tachycardia algorithm