A Case Report of Neonatal Supraventricular Tachycardia Resolved with Single-Syringe Adenosine

Clinical Practice and Cases in Emergency Medicine
Marc McDowellShannon Staley

Abstract

Supraventricular tachycardia (SVT) is a condition requiring emergency care in neonates. We describe a successfully treated case of neonatal SVT in a four-week-old neonate using the novel adenosine administration method. This technique is potentially easier to facilitate and does not require equipment such as a stopcock. Adenosine 0.2 milligrams per kilogram was drawn up into a syringe containing 0.9% sodium chloride to a total volume of 3 milliliters. Once administered, the patient had near-immediate return to normal sinus rhythm without sequelae. This case demonstrates that the single-syringe method appears potentially safe and effective in neonates.

References

Aug 1, 1994·Annals of Emergency Medicine·M GauscheJ H Kuwate
Apr 1, 2008·Pacing and Clinical Electrophysiology : PACE·Ernest W Lau
Oct 12, 2012·The New England Journal of Medicine·Mark S Link
Jun 12, 2016·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Mei-Hwan WuSan-Kuei Huang
Nov 2, 2017·Annals of Emergency Medicine·Nathaniel T WeberdingMioara D Manole
Oct 31, 2019·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc McDowellNeal Lyons

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