Treatment of supraventricular tachycardia with adenosine in children: size does matter

Emergency Medicine Journal : EMJ
S Connor

Abstract

Adenosine is frequently used as first-line therapy for supraventricular tachycardia in both adults and children. A large bore cannula is recommended to ensure a rapid rate of delivery, as adenosine has a relatively short half-life. This may not always be considered in paediatric patients. This case concerns a 15-year-old male patient who presented to the emergency department with a fast heart rate, who had previously required repeated high doses of adenosine. The case reinforces the need for a large bore cannula when giving intravenous adenosine.

Citations

Aug 22, 2012·Current Treatment Options in Cardiovascular Medicine·Carolina EscuderoShubhayan Sanatani
Dec 21, 2014·Purinergic Signalling·Geoffrey Burnstock, Amir Pelleg
Mar 14, 2020·Indian Journal of Pediatrics·Manojkumar Rohit, Ganesh Kasinadhuni

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