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

High-Fidelity Conversations

[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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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)