Adenosine | Do you use the single or double-syringe method?

[Ep14] How are you delivering adenosine for treating a patient with SVT? Do you stick with pushing your med and flush separately? Maybe you are already trying out the single-syringe method where adenosine and normal saline are mixed together before being delivered? This episode digs into a study that looks at whether or not the single-syringe method is inferior to the double-syringe method. Tune in to learn what the study revealed - and more - on this episode of High-Fidelity Conversations! 

What you'll learn in this episode:

• What are the current AHA recommendations for treating a stable tachycardia with a pulse?
• Is the effectiveness of adenosine altered when it's diluted in a syringe with normal saline?
• When should I consider giving more or less adenosine for the first dose?
• How much saline should I bolus adenosine with?
• Is the single-syringe method better or worse than the double-syringe method?
• And more!

Quick Links:

• Linktree for downloadable materials not listed in the show notes - aka the studies
• Stability of diluted adenosine
• Intention-to-treat principle
• Clinicaltrials.gov article on single-syringe method vs. double-syringe (more readable PDF formats found in Linktree link)
• AHA Abstract (note the "Results" percentages do NOT match the listed data on the original study)

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Music for the show was obtained from Pixabay and Pond5


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Closed Captioning Resources:

• Podnews article (for Apple/Android phones and Google Chrome browsers)
• Microsoft Windows article (live captions for Windows users)
• Apple article (live captions for Mac users)

Creators & Guests

Host

Jonathan Marsh

Jonathan currently works as a Simulation Coordinator with Mount Carmel Health System. His clinical experience comes from working as a paramedic in the ED and pre-hospital settings. Before getting into healthcare, he graduated from Ohio State University with a degree in Journalism. He can frequently be found creating podcasts, listening to podcasts, talking about podcasts, and helping others create their own podcasts ...

What is High-Fidelity Conversations?

This is a monthly podcast designed for healthcare workers looking to sharpen their minds and clinical skills. In each episode, we'll sit down and talk with an active healthcare professional as they reflect on some of their experience and expertise. We'll look to apply what we learn in a way that not only benefits you, but those around you. All specialties and topics are fair game, so come join your host and Simulation Coordinator, Jonathan Marsh, to hear more High-Fidelity Conversations!