Case report of neonatal supraventricular tachycardia resolved with single-syringe adenosine
McDowell M, Ahmed T, Schroeder B, Staley S. A Case Report of Neonatal Supraventricular Tachycardia Resolved with Single-Syringe Adenosine. Clin Pract Cases Emerg Med. 2020 Nov;4(4):617-619. doi: 10.5811/cpcem.2020.9.48829.
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. Once administered, the patient had near-immediate return to normal sinus rhythm without sequelae.
CONCLUSION: This case demonstrates that the single-syringe method appears potentially safe and effective in neonates.