Effect of Implementing Carotid Massage versus Ice Bag Maneuver on Clinical Outcomes for Children with Supraventricular Tachycardia | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 37, Issue 2, May 2025 PDF (1017.85 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2025.435928 | ||||
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| Authors | ||||
| Amany Khaled Mohamed Shwitah1; Rahma Soliman Bahgat2; Doaa Mohamed El Amrousy3; Nagwa Ramadan Esmail Magor4 | ||||
| 1Demonstrator of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt | ||||
| 2Professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt. | ||||
| 3Professor of Pediatrics, Faculty of Medicine, Tanta University, Egypt | ||||
| 4Assistant professor of Pediatric Nursing, Faculty of Nursing, Tanta University, Egypt. | ||||
| Abstract | ||||
| Background: Supraventricular tachycardia is an emergency condition in children that requires a professional management, as it may lead to serious complications such as hemodynamic compromise resulting in syncope, shock, or even congestive heart failure and death. Aime of the present study was to evaluate the effect of implementing carotid massage versus ice bag maneuver on clinical outcomes for children with supraventricular tachycardia. Subjects and method: A purposive sampling of 60 children with stable supraventricular tachycardia divided into two equal groups; carotid massage and ice bag maneuver group. Setting: Pediatric medical department including pediatric emergency and cardiac intensive care units of Tanta University Main Hospital. Two tools were used: Tool (I) Supraventricular tachycardia assessment of children. Tool (II): Assessment of children’s clinical outcomes. Results: Statistically significant differences were found in the mean scores regarding children’s heart rate within the two groups before, immediate and 15 minutes after the intervention. Also, it was found that the return of children’s heart rhythm to normal, immediately after implementing each maneuver, was higher in carotid massage group compared to children in ice bag group. Conclusion: Despite the opportunity for improvement exists with both maneuvers (carotid massage and ice bag maneuver), however the carotid massage has achieved a higher success rate of SVT conversion to normal heart rhythm than the ice bag maneuver. So, carotid massage is considered more effective in reducing the need for treatment escalation for children with stable SVT. Recommendation: Carotid massage and ice bag maneuver should be integrated in the urgent management of stable SVT in children, with providing training to pediatric cardiac intensive care unit nurses and children’s caregivers as well | ||||
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