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Junctional Ectopic Tachycardia: Recognition and Modern Management Strategies.
Catton, Kirsti G; Peterson, Jennifer K.
Afiliação
  • Catton KG; Kirsti G. Catton is a CVICU pediatric nurse practitioner at Lucile Packard Children's Hospital, Palo Alto, California.
  • Peterson JK; Jennifer K. Peterson is Clinical Program Director, Children's Heart Institute, Miller Children's and Women's Hospital, Long Beach, California.
Crit Care Nurse ; 40(1): 46-55, 2020 Feb 01.
Article em En | MEDLINE | ID: mdl-32006036
Junctional ectopic tachycardia is a common dysrhythmia after congenital heart surgery that is associated with increased perioperative morbidity and mortality. Risk factors for development of junctional ectopic tachycardia include young age (neonatal and infant age groups); hypomagnesemia; higher-complexity surgical procedure, especially near the atrioventricular node or His bundle; and use of exogenous catecholamines such as dopamine and epinephrine. Critical care nurses play a vital role in early recognition of dysrhythmias after congenital heart surgery, assessment of hemodynamics affecting cardiac output, and monitoring the effects of antiarrhythmic therapy. This article reviews the underlying mechanisms of junctional ectopic tachycardia, incidence and risk factors, and treatment options. Currently, amiodarone is the pharmacological treatment of choice, with dexmedetomidine increasingly used because of its anti-arrhythmic properties and sedative effect.
Assuntos

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Enfermagem Pediátrica / Complicações Pós-Operatórias / Taquicardia Ectópica de Junção / Enfermagem de Cuidados Críticos / Procedimentos Cirúrgicos Cardíacos Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Adult / Humans / Infant / Male / Middle aged / Newborn Idioma: En Revista: Crit Care Nurse Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Enfermagem Pediátrica / Complicações Pós-Operatórias / Taquicardia Ectópica de Junção / Enfermagem de Cuidados Críticos / Procedimentos Cirúrgicos Cardíacos Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Adult / Humans / Infant / Male / Middle aged / Newborn Idioma: En Revista: Crit Care Nurse Ano de publicação: 2020 Tipo de documento: Article