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Spontaneous Conversions of Supraventricular Tachycardia to Sinus Rhythm in Children After Premedication With Intranasal Dexmedetomidine: A Case Report
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.
Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases. Umeå University, Faculty of Medicine, Department of Medical Biosciences, Clinical chemistry.
2018 (English)In: A&A Practice, ISSN 2575-3126, Vol. 11, no 8, p. 219-220Article in journal (Refereed) Published
Abstract [en]

Intranasal dexmedetomidine administered as premedication before anesthesia and cardioversion appears to have the potential to facilitate the return of sinus rhythm. Two children, 3.5 and 1.5 years old, with recurrent supraventricular tachycardia in need of cardioversion have now on several occasions spontaneously returned to sinus rhythm within 20-40 minutes after intranasal administration of dexmedetomidine (4 µg/kg) with a mucosal atomization device. Both children were observed on all occasions at the pediatric outpatient clinic and could return home within 2 hours of cardioversion. For children with supraventricular tachycardia, a selective alpha2-agonist might be a valuable alternative to cardioversion with adenosine.

Place, publisher, year, edition, pages
2018. Vol. 11, no 8, p. 219-220
National Category
Anesthesiology and Intensive Care Infectious Medicine Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:umu:diva-147717DOI: 10.1213/XAA.0000000000000786ISI: 000447333300005PubMedID: 29750661Scopus ID: 2-s2.0-85054898640OAI: oai:DiVA.org:umu-147717DiVA, id: diva2:1205965
Available from: 2018-05-15 Created: 2018-05-15 Last updated: 2018-11-12Bibliographically approved

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Hultin, MagnusSundberg, Erik

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