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Intravenous sotalol use in a complex critically ill child: balancing the systems in choosing antiarrhythmic medication

Published online by Cambridge University Press:  11 August 2017

Michele M. Pasierb Open the ORCID record for Michele M. Pasierb [Opens in a new window]  and
Stephen P. Seslar
Michele M. Pasierb
Affiliation:
Division of Pediatric Cardiology, University of Washington School of Medicine, Seattle Children’s Hospital, Seattle, Washington, United States of America
Stephen P. Seslar*
Affiliation:
Division of Pediatric Cardiology, University of Washington School of Medicine, Seattle Children’s Hospital, Seattle, Washington, United States of America
*
Correspondence to: S. P. Seslar, MD, Division of Pediatric Cardiology, Seattle Children’s Hospital, 4800 Sand Point Way NE, RC.2.820, PO Box 5371, Seattle, WA 98145, United States of America. Tel: 206 987 5646; Fax: 206 987 3839; E-mail: Stephen.Seslar@seattlechildrens.org
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Abstract

In critically ill children, multi-organ-system disease can influence the choice of antiarrhythmic medication. Intravenous therapy is often necessary. There is a scarcity of paediatric critical-care cases demonstrating the dosing, monitoring, and efficacy of intravenous sotalol. This case demonstrates the effective use of intravenous sotalol in an adolescent with renal, hepatic, and haematological dysfunctions.

Keywords

Sotalolpaediatric critical careatrial flutteratrial fibrillationintravenous
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 9 , November 2017 , pp. 1857 - 1860
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Copyright
© Cambridge University Press 2017 

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