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Supraventricular Tachycardia Management in the Child
- See Also
- Guidelines 2000 CPR and Emergency Cardiovascular Care
- Unstable Tachycardia
- Narrow Complex Tachycardia
- Wide Complex Tachycardia
- Precautions
- Distinguish SVT from Sinus Tachycardia
- Do not use this algorithm for Sinus Tachycardia
- Management: Initial Stable SVT
- Vagal stimulation (if no delay)
- Carotid Massage
- Valsalva maneuver
- Ice water immersion
- Adenosine (if no delay)
- First: 0.1 mg/kg rapid IV push (maximum: 6 mg)
- Second: 0.2 mg/kg rapid IV push (maximum: 12 mg)
- Immediate Synchronized Cardioversion
- Consider Sedation (if no delay)
- Synchronized Cardioversion
- Initial dose: 0.5-1.0 Joules/kg
- Subsequent doses: Up to 2 Joules/kg
- Repeat cardioversion as needed
- Management: Consider Wide Complex Tachycardia
- Amiodarone 5 mg/kg IV over 20 to 60 minutes
- Procainamide 15 mg/kg IV over 30 to 60 minutes
- Lidocaine 1 mg/kg IV bolus
- Consult pediatric cardiology
- References
- (2000) Circulation, 102(Suppl I):86-9
- http://www.circulationaha.org
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