Complete atrioventricular block during neonatal intubation: a case report
Preterm infants often experience side effects from intubation. Desaturation and sinus bradycardia are frequent. Atropine as premedication mitigates these risks.We report the occurrence of severe bradycardia related to atrioventricular block during intubation. The infant experienced severe bradycardi...
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| Language: | English |
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Elsevier
2025-07-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425001158 |
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| author | Justine Dauby Caroline Jacquemart Sophie Tribolet Vincent Rigo |
| author_facet | Justine Dauby Caroline Jacquemart Sophie Tribolet Vincent Rigo |
| author_sort | Justine Dauby |
| collection | DOAJ |
| description | Preterm infants often experience side effects from intubation. Desaturation and sinus bradycardia are frequent. Atropine as premedication mitigates these risks.We report the occurrence of severe bradycardia related to atrioventricular block during intubation. The infant experienced severe bradycardia not responsive to effective endotracheal ventilation. The electrocardiogram trace displayed an initial 2:1 Mobitz II block with a rapid progression to complete atrioventricular block.Congenital atrioventricular block is mostly related to atrioventricular node lesions by maternal anti-SSA/anti-SSB antibodies, but, in some cases, atrioventricular block may be paroxysmal and vagally mediated.Although most rhythm disturbances secondary to intubation are sinus bradycardias, other bradyarhythmia, such as atrioventricular block, should be considered and treated rapidly. Clues for non-sinus bradycardia include initial sharp decrease in heart rate, and a fixed low heart rate despite adequate ventilation. |
| format | Article |
| id | doaj-art-10d2eca325cd42eba64aad56e6be66c1 |
| institution | OA Journals |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-10d2eca325cd42eba64aad56e6be66c12025-08-20T01:55:31ZengElsevierResuscitation Plus2666-52042025-07-012410097810.1016/j.resplu.2025.100978Complete atrioventricular block during neonatal intubation: a case reportJustine Dauby0Caroline Jacquemart1Sophie Tribolet2Vincent Rigo3University of Liège, Place du XX Août, 7, 4000 Liège, BelgiumUniversity of Liège, Place du XX Août, 7, 4000 Liège, Belgium; Pediatric Cardiology division, CHU of Liège, Citadelle Hospital, University of Liège, Boulevard du XIIème de Ligne, 1, 4000 Liège, BelgiumUniversity of Liège, Place du XX Août, 7, 4000 Liège, Belgium; Neonatology division, CHU of Liège, Citadelle Hospital, University of Liège, Boulevard du XIIème de Ligne, 1, 4000 Liège, Belgium; Corresponding author at: Boulevard du 12ème de ligne 1, 4000 Liège, Belgique.University of Liège, Place du XX Août, 7, 4000 Liège, Belgium; Neonatology division, CHU of Liège, Citadelle Hospital, University of Liège, Boulevard du XIIème de Ligne, 1, 4000 Liège, BelgiumPreterm infants often experience side effects from intubation. Desaturation and sinus bradycardia are frequent. Atropine as premedication mitigates these risks.We report the occurrence of severe bradycardia related to atrioventricular block during intubation. The infant experienced severe bradycardia not responsive to effective endotracheal ventilation. The electrocardiogram trace displayed an initial 2:1 Mobitz II block with a rapid progression to complete atrioventricular block.Congenital atrioventricular block is mostly related to atrioventricular node lesions by maternal anti-SSA/anti-SSB antibodies, but, in some cases, atrioventricular block may be paroxysmal and vagally mediated.Although most rhythm disturbances secondary to intubation are sinus bradycardias, other bradyarhythmia, such as atrioventricular block, should be considered and treated rapidly. Clues for non-sinus bradycardia include initial sharp decrease in heart rate, and a fixed low heart rate despite adequate ventilation.http://www.sciencedirect.com/science/article/pii/S2666520425001158NeonateIntubationAtropineBradycardiaAtrioventricular block |
| spellingShingle | Justine Dauby Caroline Jacquemart Sophie Tribolet Vincent Rigo Complete atrioventricular block during neonatal intubation: a case report Resuscitation Plus Neonate Intubation Atropine Bradycardia Atrioventricular block |
| title | Complete atrioventricular block during neonatal intubation: a case report |
| title_full | Complete atrioventricular block during neonatal intubation: a case report |
| title_fullStr | Complete atrioventricular block during neonatal intubation: a case report |
| title_full_unstemmed | Complete atrioventricular block during neonatal intubation: a case report |
| title_short | Complete atrioventricular block during neonatal intubation: a case report |
| title_sort | complete atrioventricular block during neonatal intubation a case report |
| topic | Neonate Intubation Atropine Bradycardia Atrioventricular block |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425001158 |
| work_keys_str_mv | AT justinedauby completeatrioventricularblockduringneonatalintubationacasereport AT carolinejacquemart completeatrioventricularblockduringneonatalintubationacasereport AT sophietribolet completeatrioventricularblockduringneonatalintubationacasereport AT vincentrigo completeatrioventricularblockduringneonatalintubationacasereport |