Amiodarone for the Emergency Care of Children

作者:Lane Roni D*; Nguyen Kim Tan; Niemann James T; Bolte Robert G; Etheridge Susan P; Gausche Hill Marianne
来源:Pediatric Emergency Care, 2010, 26(5): 382-393.
DOI:10.1097/PEC.0b013e3181ddd2d6

摘要

Amiodarone is a class 3 antiarrhythmic agent used for a broad range of arrhythmias including adenosine-resistant supraventricular tachycardia, junctional ectopic tachycardia, and ventricular tachycardia. Compared with adults, there are few data on its use in children with arrhythmias resistant to conventional therapy. National and international guidelines for cardiopulmonary resuscitation and emergency cardiovascular care recommend its use for a variety of arrhythmias based on case reports, cohort studies, and extrapolation from adult data. This article will review the historical development, chemical properties, metabolism, indications and contraindications, and adverse effects of amiodarone in infants and children. After completing this CME activity, the reader should be able to utilize amiodarone in the pediatric population for arrhythmias and identify complications associated with its use.

  • 出版日期2010-5