• Pediatr Crit Care Me · Nov 2011

    Deep nasopharyngeal aspiration as a treatment option for conversion of supraventricular paroxysmal tachycardia in infants: First experiences.

    • Bojko Bjelakovic, Bojana Vukovic, Jelena Vojinovic, Ljiljana Saranac, Dragana Savic, Snezana Zivanovic, Anita Petrovic, Ana Velickovic, and Mirjana Miljkovic.
    • Clinic of Pediatrics, Clinical Center, Nis, Serbia. bojko968@gmail.com
    • Pediatr Crit Care Me. 2011 Nov 1; 12 (6): e402-3.

    ObjectiveSupraventricular paroxysmal tachycardias are the most common paroxysmal rhythm disorders in childhood. Atypical clinical presentations as well as their ability to induce hemodynamic deterioration imply necessity for arrhythmia rapid termination during the first months of life. The objective of this article was to evaluate the efficiency of deep nasopharyngeal aspiration as a potential vagal maneuver for supraventricular paroxysmal tachycardias termination.DesignClinical trial.Patients And MethodsFrom June 2005 to October 2009, a total of eight infants, who were admitted at our institutions and diagnosed to have supraventricular paroxysmal tachycardias, were analyzed. To terminate supraventricular paroxysmal tachycardias "diving" reflex was initially tried and in the cases of its inefficacy, deep nasopharyngeal aspiration was performed.Main ResultsNasopharyngeal aspiration successfully converted arrhythmia in three infants (37.5%).ConclusionsDeep nasopharyngeal aspiration could be an alternative vagal maneuver for infants with supraventricular paroxysmal tachycardia.

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