SIMPLE review of Supraventricular Tachycardia in the NICU
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- เผยแพร่เมื่อ 24 ก.ค. 2024
- A REALLY fast heart rate! Is the heart just beating really quickly (sinus tachycardia)? Or is it an arrhythmia (SVT)?? How do you tell them apart? How do you diagnose SVT? What about treatment? When do you use a bag of ice? Which medications do you use?!!! Learn all this and more!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Srinivasan C, Balaji S. Neonatal supraventricular tachycardia. Indian Pacing Electrophysiol J. 2019 Nov-Dec;19(6):222-231. doi: 10.1016/j.ipej.2019.09.004. Epub 2019 Sep 18. PMID: 31541680; PMCID: PMC6904811.
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**TIMESTAMPS**
00:33 What is SVT
01:17 How to infants with SVT present?
02:30 SVT or sinus tachycardia?
07:06 How do you diagnose SVT and what other studies should you get
08:52 How do you treat SVT?
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
Love the title “learn svt in 14 min” its really concise and on the mark, really helps you understand so well, another excellent video, thanks again.
Hello!!! Thank you so much again. We've been having trouble with our titles-playing around with how to accurately portray what's in the videos without being boring- so your comment is much appreciated! Let us know if you have any ideas?!
@@TalaTalksNICU Hi, I was wondering about neurological and endocrinology topics in the NICU like neonatal seizures, glycemic eventualities and a video about neonatal ethics, especially dealing with family of an infant with poor prognosis. Some topics around those lines. Its always awesome you try and make videos your subscribers ask for, thanks again and continue the amazing work.
We love these suggestions. We are hoping get help with a palliative care specialist about having those conversations about poor prognosis etc. We need to do neonatal seizures and low and high sugars! Thanks so much for your continued support!
Another great video Dra Tala. Thanks so much again!
Thank you SO much for your continued positive support!
Thanks so much! I’m preparing for the ELBW exam through NCC. Watching your videos has been great along with the questions in the community.
That's fantastic Jayne- thanks so much still being here! Im glad the community questions help too- it's always hard knowing where to pitch them. Good luck in your exam! (Oh by the way- which book/ series do you use for that- maybe a video dedicated to high yield stuff on that exam may be helpful?)
perfect as always
Complimentary as always! Thank you AGAIN so much - we love your comments :)
Great lecture madam....
Thank you so much for sharing knowledge and experience....
The lectures are really helpful....
- Dr Prashant, MD ( PEDIATRICS)
Nagpur, India
Hello doctor!! I really appreciate your comment- thank you so much for taking the time to write! Hope you’re well!
Nice topic again! Thanks!
Thank you so much again :)
great job. thanks a lot.
Thank you so much for watching and for taking the time to comment!
Thank you Dr. Tala! My primary has WPW syndrome so this video was helpful to expand my knowledge base! Appreciate all you do to make these videos.
Thank you so much for writing to us Karlie! Did you all pick it up or was it genetically known and you went looking? Lucky baby to have you as a primary
Thanks alot for videos , such a great help and "to the point ", i was wondring if you could make videos about fluid managment and calculation ,especially the triky ones in both metabolic cases and the cardiac cases , thumbs up and all gratitude to your hard work .
Hello! Thanks for your lovely comments. We love the idea of a video on fluids and electrolytes for special scenarios. Thank you so much!
Wonderful presentation
Thank you!
Very nice explanation ,keep going on thanks alot
Thank you so much Ahmad :)
A wonderful topic. JET in cardiosurgical unit is something we get into trouble with.
Wld love to hear from you is there is a topic on murmurs, pulmonary hypertensive crisis, hyperglycemia 💞. I watching you on my way to wrk, a NNP in NICU.
Hi Usha! Thanks for your lovely comment. Everywhere I've worked the post-op cardiac infants stay in the cardiac ICU, so really I've consulted on infants who've had JET, but it's not something we see in the NICU really. Horrible though!!! We made a video on pulmonary hypertension- we should add one about an actual crisis event too (especially in setting of BPD), and we've added hyperglycemia too. We'll add murmurs to the list! Thank you so much for being here. AND DRIVE SAFELY!!!
Thank you very much
Thank you so much for watching :)
Thank you
Thanks for being here!
Thank you so much for this! It’s so amazing how helpful your videos!! You are such a great resource Dr. Tala! (NICU RN here). Is there any way you can talk about some commonly genetic abnormalities that you see in the nicu?
Wow- thank you so much Sheila- lovely words :) OK- we've been wondering how to do genetic anomalies- it's SUCH a huge topic- and your suggestion is a brilliant idea! We were thinking: Downs, Turners, 22q deletion, trisomy 18 and 13. Any others we're missing? We're about to put out our hydrops and cardiac series, so may be a couple of months- but these take ages to plan!!
Thank you Dr. Tala! I love listening to your videos on my way to work, they are full of excellent information! I’m a nicu nurse and would love for you to discuss different respiratory supports and thoughts behind deciding what support a baby needs. HFNC vs RAM CPAP vs BCPAP vs NIV NAVA. Invasive NAVA vs the conventional vent etc.
It would great to hear the pros/cons to differing respiratory supports! Thanks!!
So glad you're watching way to work :) Thank you! We will be starting a series on the different modalities at the start of the year- I know it's taken ages to get there! Thank you again for your suggestions and for subscribing :)
Thank you Dr. Tala, I am looking forward to it!
Thank you.
Thank you for watching all these videos. :)
Very informative
So glad Mina-thanks so much for taking the time to comment :)
Another great video. Would you guys consider doing a video on palliative/comfort care in the NICU?
Hello Larae! Thanks so much for your lovely comment. We have a palliative care video planned- we are trying to get a palliative care expert to help with it! Thanks so much for being here :)
@@TalaTalksNICU wonderful. I look forward to that.
You are amazing 😻
I can assure you I am not- but thank you for the sentiment! ha!
hi Dr Tala. love your videos. I'm from tel aviv.
can you make one on nitrogen washout test?
Hello- I Hope you and your family are staying safe and strong in your corner of the world during these difficult times. Do you mean Nitrogen wash out for pneumothoaces? Thanks so much for being here!
@@TalaTalksNICU thank you Dr Tala for your thoughtful response!
hope this nightmare Will be over soon.
yes. for phneomothorax
Full term baby born with persistent SVT is receiving procanimide with esmolol, yet still has periods of SVT 250/min. Stable SVT, no congenital heart disease. What's the next treatment? Cardioversion or ablation??
Hello Jacqueline- congrats on your baby. Will talk generally- cardio version is generally reserved for an unstable baby who we need to get out of a rhythm (generally a short term solution in babies). Unless it is not svt- then done sooner. There are many other meds that babies can be put on for SVT which are normally added- digoxin Amiodarone procainamide etc I’m sure cardiology is all over it- they normally add meds in stepwise fashion. Wishing your family health and peace xxx
Where is the community tab?
If you go to the home page- there is a tab under the title of the channel. I think you have to be on the app for it if you're on your mobile? Not sure!! Let us know if you can't find it!
First 😁 I have SVT and it is very uncomfortable, it must be worse for a baby since they cannot speak up!
I always think it must be uncomfortable but it's weird- often the babies appear like it doesn't bother them- sleeping, eating, looking around peacefully. Poor little things- and poor you! Hope that you're getting the treatment you need.
@@TalaTalksNICU Oh thank you! I watch your videos as both a nurse and a paramedic, and a NICU nurse want to be :). I am starting in labor and delivery next week, and love that area of nursing... Thanks for the videos!
Oh brilliant! Obviously I'm biased but the NICU is the best place to be. That's so great you'll have such a broad background (and the ability to stay calm under pressure!) that you're bringing. Good luck on your journey!