Charcoal hemoperfusion in an infant with supraventricular tachycardia and seizures secondary to amitriptyline intoxication

2010 ◽  
Vol 30 (3) ◽  
pp. 254-256 ◽  
Author(s):  
Mehmet Mutlu ◽  
Gülay Karagüzel ◽  
Elif Bahat ◽  
Ayşe Aksoy ◽  
Burcu Güven ◽  
...  
Keyword(s):  
Supraventricular Tachycardia ◽  
Male Infant ◽  
Pediatric Emergency ◽  
Tricyclic Antidepressant ◽  
Common Causes ◽  
Shallow Breathing ◽  
Clonic Seizures ◽  
Charcoal Hemoperfusion ◽  
Anticonvulsive Agents ◽  
Narrow Complex Tachycardia

Tricyclic antidepressant (TCA) overdose is one of the common causes of drug poisoning and it has cardiovascular, respiratory and neurological side effects. An 18-month male infant was admitted to our pediatric emergency service due to poisoning with amitriptyline. The infant was unconscious. Tachycardia, irregular and shallow breathing, and tonic-clonic seizures were observed on physical examination. An electrocardiogram displayed a narrow complex tachycardia that was consistent with re-entrant supraventricular tachycardia (SVT). Although antiarrhythmic and anticonvulsive agents were administrated, SVT and seizures persisted. Charcoal hemoperfusion (HP) was performed for 4 hours. The infant’s clinical condition has improved after the charcoal HP, seizures and SVT were not observed. It is concluded that charcoal HP can be used efficiently in patients with severe amitriptyline intoxication.

scholarly journals Lipid Emulsion Treatment in Tricyclic Antidepressant Poisoning in Children: An Observational Cohort Study

2021 ◽  
pp. 14-17
Author(s):  
Esra Türe ◽  
Fatih Akın ◽  
Abdullah Yazar ◽  
Ahmet Osman Kılıç
Keyword(s):  
Vital Signs ◽  
Cardiovascular Complications ◽  
Pediatric Emergency ◽  
Tricyclic Antidepressant ◽  
High Dose ◽  
History Of ◽  
Observational Cohort ◽  
Poisoning In Children ◽  
Conduction Disorder ◽  
Basic Treatment

Tricyclic antidepressant (TCA) poisonings are among the most common childhood poisonings because of being cheap and readily available. In this manuscript, we aimed to share our experience with Intravenous lipid emulsions (ILE) treatment in addition to basic treatment steps and discussion of effectiveness of treatment in cases of poisoning caused by high-dose TCA intake. From the patients under 18 years of age who admitted to Pediatric Emergency Department due to drug intoxication between January 2014 and December 2019; those who had history of exposure to TCAs were included in our study. In conclusion of examination of six-year patient records, it was determined that there were a total of 619 intoxication cases and 108 (17.4%) of these were TCA poisoning. 21 (19.4%) patients who had hypotension, tachycardia and ECG changes which were refractory to all basic treatment steps were administered ILE. After ILE treatment, a marked improvement was observed in patients’ clinical and ECG findings, as well as vital signs. Early administration of ILE treatment in emergency departments for cases with hypotension, conduction disorder, dysrhythmia or widened QRS which are refractory to sodium bicarbonate is thought to prevent potential cardiovascular complications.

scholarly journals Case Report: Exercise-Induced Supraventricular Tachycardia in a 16-Year-Old Boy with Tricuspid Regurgitation

2020 ◽  
Vol 5 (1) ◽  
pp. 1-7
Author(s):  
Putu Satya Pratiwi ◽  
Romy Windiyanto
Keyword(s):  
Differential Diagnosis ◽  
Supraventricular Tachycardia ◽  
Pediatric Patients ◽  
Sinus Tachycardia ◽  
Life Support ◽  
Advanced Life Support ◽  
Strenuous Exercise ◽  
Compensatory Response ◽  
Exercise Induced ◽  
Narrow Complex Tachycardia

Supraventricular tachycardia (SVT) is a tachydysrhythmia that is often found in pediatric patients which requires treatment. In contrast to sinus tachycardia, SVT is not a normal compensatory response to physiologi-cal stress. This article discusses the case of supraventricular tachycardia in a 16-year-old boy, which appear during strenuous exercise. In this case a guide was also provided in identifying SVT, excluding the differential diagnosis for narrow complex tachycardia, followed by guidelines for the management of pediatric tachycardia based on the Pediatric Advanced Life Support algorithm.

Use of Adenosine in the Treatment of Supraventricular Tachycardia in a Pediatric Emergency Department

2014 ◽  
Vol 30 (6) ◽  
pp. 388-393 ◽  
Author(s):  
Sandra Díaz-Parra ◽  
Pilar Sánchez-Yañez ◽  
Ignacio Zabala-Argüelles ◽  
Beatriz Picazo-Angelin ◽  
Lourdes Conejo-Muñoz ◽  
...  
Keyword(s):  
Emergency Department ◽  
Supraventricular Tachycardia ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

scholarly journals Cardiac Arrhythmias – Part III Narrow Complex Tachycardia

2005 ◽  
Vol 4 (2) ◽  
pp. 51-57
Author(s):  
DW Davies ◽  
◽  
MD O’Neill ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Arrhythmias ◽  
Sinus Tachycardia ◽  
Sinus Node ◽  
Atrioventricular Node ◽  
Supraventricular Arrhythmia ◽  
Common Causes ◽  
Atrioventricular Reciprocating Tachycardia ◽  
Narrow Complex Tachycardia ◽  
Wolff Parkinson White Syndrome

Narrow complex tachycardia usually refers to an abnormality of cardiac rhythm involving the tissues of the sinus node, atrial tissue, the atrioventricular node or an accessory atrioventricular communication. Although atrial fibrillation is the most common supraventricular arrhythmia, the term “supraventricular tachycardia” conventionally refers to the group of rhythm disturbances encompassing sinus tachycardia (appropriate and inappropriate), atrial tachycardia, atrial flutter, atrioventricular nodal reciprocating tachycardia (AVNRT) and atrioventricular reciprocating tachycardia (AVRT) including the Wolff Parkinson White syndrome (WPW). Atrial fibrillation is beyond the scope of this article which focuses on the diagnosis and acute management of the patient presenting with one of these common causes of a regular, narrow complex tachycardia.

scholarly journals CLINICAL PROFILE OF CHILDREN PRESENTING WITH SEIZURE

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Diwakar Aiyaloo ◽  
Banumathi C. M
Keyword(s):  
Health Care Facilities ◽  
Clinical Profile ◽  
Seizure Type ◽  
Tubercular Meningitis ◽  
Common Causes ◽  
Care Facilities ◽  
Acute Symptomatic Seizure ◽  
Clonic Seizures ◽  
The Common ◽  
The Brain

Seizure is a sudden, uncontrolled electrical disturbance in the brain which causes changes in behavior, movements or feelings, and in the levels of consciousness. Suffering from more seizures or tendency to have recurrent seizures that may lead to epilepsy. This study is to describe the clinical profile of children presenting with seizure including common causes of seizure and classify the seizure types. Methods:  Hospital-based, analytic and descriptive study. This study includes all children in the age group 6 months to 12 years who presented in the department of paediatrics with seizure. Demographic analysis and analysis of different seizure types, analysis of patient based on the cause of seizure as well as outcome of patient presented with seizure in relation to demographic, fever diagnosis and status epilepticus.  Results: The total numbers of patients with seizure under study are 100 in which 61 were males and 39 were females. The most common clinical seizure type was generalized tonic- clonic (56.00%). Conclusions: Seizures are one of the common causes of hospitalization. It can be inferred from this study that CNS infections are the most common cause of acute symptomatic seizure. The improvement in health care facilities like sanitation and immunization is warranted to prevent it. Keywords: Generalized tonic-clonic seizures, Neurocysticercosis, Encephalitis, Tubercular meningitis

scholarly journals Wolff-Parkinson-White (WPW) Syndrome Catheter Ablation in Prince Sultan Cardiac Center

2021 ◽  
Vol 4 (14) ◽  
pp. 01-06
Author(s):  
Ibrahim Yaseen M Osman ◽  
Yahya Alhebaishi ◽  
Lamia Alshengeiti ◽  
Khalid Dagriri ◽  
Adil Asman ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Young Adult ◽  
Catheter Ablation ◽  
Supraventricular Tachycardia ◽  
Accessory Pathway ◽  
Wpw Syndrome ◽  
Common Causes ◽  
Cardiac Center

Despite being one of the most common causes of supraventricular tachycardia in young adult, there are not many studies that highlight the demographics data as well as procedural characteristics of accessory pathway in Saudi Arabia.

scholarly journals Bilateral Breast Abscess in a Newborn Baby

2020 ◽  
Author(s):  
Erhan Aygün ◽  
Emine Yurdakul Ertürk ◽  
Haluk Kaya ◽  
Onur Yalçın
Keyword(s):  
Health Services ◽  
Medical Treatment ◽  
Breast Tissue ◽  
Male Infant ◽  
Pediatric Emergency ◽  
Newborn Baby ◽  
Breast Abscess ◽  
Breast Hypertrophy ◽  
Case Presentation ◽  
Physiological Hypertrophy

Abstract Background: In this study we wish to attract attention to mistaken interventions to the breast tissue of neonates and to increase awareness about this topic among personnel providing health services to neonates. Case presentation: A fourteen-day male infant was brought to the pediatric emergency clinic with swelling, redness, hardness and discharge complaints in the region of both breasts. Ultrasonography of the breast tissue of the patient identified appearance compatible with a dense-content abscess in the form of hyperechoic or hypoechoic avascular mass. Bilateral breast abscess responded to surgical and medical treatment. Conclusions: It is important to recognize physiological breast hypertrophy in newborns. In physiological hypertrophy, the breast bud is neither red nor soft and heals spontaneously. No intervention is required.

Differential diagnosis of supraventricular tachycardias

ESC CardioMed ◽  
2018 ◽  
pp. 2054-2060
Author(s):  
Haran Burri
Keyword(s):  
Differential Diagnosis ◽  
Ventricular Tachycardia ◽  
Supraventricular Tachycardia ◽  
Clinical Investigations ◽  
Supraventricular Tachycardias ◽  
Narrow Complex Tachycardia

This chapter overviews the electrocardiographic diagnosis of various aetiologies of narrow complex tachycardia, as well as the criteria for distinguishing aberrant conduction from ventricular tachycardia in cases of wide QRS tachycardia. Clinical investigations for diagnosis of supraventricular tachycardia are also covered.

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