Successful Intraosseous (IO) Adenosine Administration for the Termination of Supraventricular Tachycardia (SVT) in a 3.5-Year-Old Child-Case Report and Literature Review

被引：0

作者：

Zachaj, Jakub ^{[1
]}

Kreglicki, Lukasz ^{[2
,3
]}

Sikora, Tomasz ^{[2
,4
]}

Moorthi, Katarzyna ^{[2
,5
]}

Jaskiewicz, Filip ^{[6
]}

Nadolny, Klaudiusz ^{[7
]}

Galazkowski, Robert ^{[1
]}

机构：

[1] Med Univ Warsaw, Med Emergency Dept, Litewska 14 16, PL-00575 Warsaw, Poland

[2] Polish Med Air Rescue, Ksiezycowa 5, PL-01934 Warsaw, Poland

[3] Jagiellonian Univ, Dept Emergency Med, Med Coll, Michalowskiego 12, PL-31126 Krakow, Poland

[4] Med Univ Silesia, Fac Med Sci Katowice, Dept Emergency Med, Poniatowskiego 15, PL-40055 Katowice, Poland

[5] Mil Med Inst, Natl Res Inst, Szaserow 128, PL-04141 Warsaw, Poland

[6] Med Univ Lodz, Emergency Med & Disaster Med Dept, Pomorska 125, PL-90419 Lodz, Poland

[7] Silesian Acad Katowice, Fac Med, Dept Emergency Med Serv, ul Rolna 43, Katowice, Poland

来源：

HEALTHCARE | 2024年 / 12卷 / 15期

关键词：

supraventricular tachycardia; intraosseous; adenosine; emergency; paediatrics; RESUSCITATION; GUIDELINES; INFUSION;

D O I：

10.3390/healthcare12151509

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Paediatric supraventricular tachycardia (SVT) is a common arrhythmia of great clinical significance. If not treated promptly, it can cause heart failure and cardiogenic shock. Depending on the patient's condition, SVT treatment involves vagal manoeuvres, pharmacological, or direct current cardioversion. The goal of acute SVT management is to immediately convert SVT to a normal sinus rhythm (NSR) and prevent its recurrence. Adenosine is recommended as the first-line treatment for stable SVT by the European Resuscitation Council (ERC) and American Heart Association (AHA) guidelines, when vagal manoeuvres have proven ineffective. The ERC and AHA guidelines recommend the intravenous route of administration. The intraosseous (IO) administration technique is also possible, but still relatively unknown. The aim of this paper is to describe a 3.5-year-old child with SVT that was converted to NSR following IO administration of adenosine. Successful conversion was achieved after the second attempt with the adenosine dose. In the described case, there was no recurrence of SVT.

引用

页数：7

共 25 条

[1] INTRAOSSEOUS ADENOSINE FOR THE TERMINATION OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA IN CHILDREN [J].