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


METHODS
Clinical trial.


METHODS
From 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.


RESULTS
Nasopharyngeal aspiration successfully converted arrhythmia in three infants (37.5%).


CONCLUSIONS
Deep nasopharyngeal aspiration could be an alternative vagal maneuver for infants with supraventricular paroxysmal tachycardia.
Clinic of Pediatrics, Clinical Center, Nis, Serbia. bojko968@gmail.com
Bojko
B
Bjelakovic
Bojana
B
Vukovic
Jelena
J
Vojinovic
Ljiljana
L
Saranac
Dragana
D
Savic
Snezana
S
Zivanovic
Anita
A
Petrovic
Ana
A
Velickovic
Mirjana
M
Miljkovic
D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009305:Nasopharynx; D017063:Outcome Assessment, Health Care; D055771:Serbia; D013396:Suction / Q000379:methods*; D013614:Tachycardia, Paroxysmal / Q000628:therapy*; D013617:Tachycardia, Supraventricular / Q000628:therapy*