Abstract
The perioperative management of a 16-day-old infant with recurrent supraventricular tachycardia (SVT) is discussed. Vagal manoeuvres and medication were not adequate in controlling the SVT. Since the patient was scheduled for extensive surgery in the prone position, it was decided to use transoesophageal pacing as the method of choice for conversion of SVT. Transoesophageal pacing succeeded several limes in overriding the SVT and restoring normal heart rate and haemodynamic variables. The advantages and disadvantages of various methods of treating SVT in the newborn are discussed.
La conduite périopératoire d’un enfant âgé de 16 jours avec une tachycardie supraventriculaire récurrente (SVT) est discutée. Les manoeuvres de stimulation vagale et les médicaments élaient incapables de contrôler la SVT. Etant donné que le patient était cédulé pour une chirurgie extensive en position ventrale, il a été décidé d’utiliser un pace maker transoesophagien comme méthode de choix pour convertir la SVT. Le pacing transoesophagien a reussi à plusieurs reprises à supprimer la SVT et restaurer le rythme normal ainsi que les données hémodynamiques. Les avantages et désavantages de plusieurs méthodes de traitement de la SVT chez le nouveau-né sont discutés.
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Stevenson, G.W., Schuster, J., Kross, J. et al. Transoesophageal pacing for perioperative control of neonatal paroxysmal supraventricular tachycardia. Can J Anaesth 37, 672–674 (1990). https://doi.org/10.1007/BF03006488
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DOI: https://doi.org/10.1007/BF03006488