Pediatric SVT - Management Algorithm

Identify SVT:

 • HR not variable

 • Abrupt rate changes

 • Infants: HR > 220bpm

 • Children: HR > 180bpm

ECG, Monitors, Pads AP

Stable?

 • Vagal Maneuvers

    -  Ice x 15s

    - Don't cover mouth/nose.

    - Older children: blow in syringe

 • Adenosine - 0.1 mg/kg

    - Followed by Flush

    - Not effective? 0.2 mg/kg

Unstable? Signs of shock or heart failure

 • Cardiovert

    - Sedation then Sync 

    - 0.5-1 J/kg

    - Not effective? 2 J/kg



- Dr. Sarah Foohey @SarahFoohey



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