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Guidelines and adenosine dosing in supraventricular tachycardia
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  • Published on:
    Pitfalls in the use of Adenosine

    Dear Editor,

    The report by Dixon et al. on the dosing of adenosine is important.[1] That the use of higher starting doses (100 - 200ug/kg) should significantly increase the chance of adenosine terminating the supraventricular tachycardia or demonstrating its mechanism on the first dose was clearly demonstrated in their retrospective review.

    It is worth repeating that the maximum dose for children of 500ug...

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    Conflict of Interest:
    None declared.
  • Published on:
    BNF for Children is also incorrect about adenosine dosage

    Dear Editor,

    I am sorry to say that the BNF for Children (http://www.bnfc.org), published in October 2005, is also incorrect in its recommendation of starting dosage for use of adenosine in newborns and infants. The BNFC incorrectly recommends starting at 50-100 micrograms/kg and increasing the dose by 50 microgram/kg until a maximum of 300 microgram/kg.

    However...

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    Conflict of Interest:
    None declared.
  • Published on:
    Adenosine dosing in Supraventricular Tachycardia - ? Time for change
    • Anjum Gandhi, SpR Paediatric Cardiology
    • Other Contributors:
      • Orhan Uzun

    Dear Editor

    We read with great interest the article by Dixon, Foster, Wyllie and Wren, on the dosing of adenosine in supraventricular tachycardia (SVT). We have recently reviewed cases of SVT presenting to the Children’s Heart unit of Wales with a special focus on the effective dose of Adenosine and have made disturbingly similar observations. Our findings were recently presented in a research society meeting....

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    Conflict of Interest:
    None declared.