Abstract

IntroductionSupraventricular tachycardia (SVT) is a condition requiring emergency care in neonates.Case ReportWe 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.ConclusionThis case demonstrates that the single-syringe method appears potentially safe and effective in neonates.

Highlights

  • Supraventricular tachycardia (SVT) is a condition requiring emergency care in neonates.Case Report: We describe a successfully treated case of neonatal SVT in a four-week-old neonate using the novel adenosine administration method

  • Adenosine is an effective treatment, but administration can be cumbersome. What makes this presentation of disease reportable? We report a novel method of adenosine administration, not previously reported in the neonatal population

  • We describe a case of neonatal SVT presenting in respiratory distress with return to normal sinus rhythm (NSR) with the diluted single-syringe method of adenosine

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Summary

Introduction

Supraventricular tachycardia (SVT) is a condition requiring emergency care in neonates. Case Report: 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. The patient had near-immediate return to normal sinus rhythm without sequelae

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