Single syringe adenosine for SVT
What if there is an easier way to treat supraventricular tachycardia?
How many of you have had tons of success using the classic vagal maneuver to break SVT? All listeners who love pushing adenosine raise their hands. Hooking up the stopcock, hooking up the adenosine syringe, hooking up the flush. Then, after all that, timing the drug push and the flush push. This is clearly a two-person job. What if we’ve been doing both of these wrong all along? There is definitely an easier way.
In this episode of the MCHD Paramedic Podcast, we cover MCHD protocol, as well as:
- What is SVT?
- How can we discern sinus tach from SVT (AVNRT)?
- What do we do to terminate SVT initially?
- The REVERT trial
- A single syringe technique
Next on the playlist: Bolus dose nitroglycerin for hypertensive acute pulmonary edema
- McDowell M et al. Single-Syringe Administration of Diluted Adenosine. Acad Emerg Med 2020, Jan;1:62-63.
- Choi SC et al. A Convenient Method of Adenosine Administration for Paroxysmal Supraventricular Tachycardia. J Korean Soc Emerg Med 2003, Aug;14(3):224-227.
- Weberding NT, Saladino RA, Minnigh MB, et al. Adenosine administration with a stopcock technique delivers lower-than-intended drug doses. Ann Emerg Med 2018;71:220–4.