Mobilenews24x7 Bureau
Bhubaneswar, Jan 21: If your baby is crying excessively for hours then it should not be ignored. Most of us take it lightly and think of it as colic or something else. But it can be arrhythmia, which can be dangerous for babies.
In this case the baby should be put on a stethoscope and heart rate should be checked as well, said Dr. Pankaj Mohanty, Associate Professor of Neonatology Department, AIIMS Bhubaneswar.
Dr. Mohanty said this in the context of an emergency kind of situation that happened at AIIMS Bhubaneswar. A 25 days old baby girl came to AIIMS Bhubaneswar on Tuesday night with excessive crying. The baby girl was crying consistently for more than 12 hours. She was crying intermittently and not taking feed.
Prior to coming to AIIMS Bhubaneswar the baby was treated as abdominal colic, otitis or sepsis.
At AIIMS, a team of doctors led by Dr. Mohanty checked vitals of the baby. Heart Rate (HR) of the baby was found to be 300bpm (normal HR should be within 140).
Then the baby girl underwent immediate ECG. It revealed an absent p wave and HR 288, s/ O PSVT. The baby girl was taken to the NICU and was provided two doses of I.V adenosine in proper technique but failed to revert the rhythm.
Then amiodarone infusion started which resulted HR coming down to 270 but still psvt was there in continuous ecg. Then the doctors had to give Shock 2 j/ kg. It resulted well and rhythm reverted to normal and persisted.
Baby went into shock, intubated, required noradrenaline and milrinone (myocardial contractility).
She was managed for 24 hrs and the rhythm was normal. Baby was extubated to room air, infusions stopped and she started doing well on oral amiodarone and taking breast feeding well, said Dr. Mohanty.
This type of case happens quite often. But parents as well as treating doctors should be aware of this. Every child crying excessively is not a case of colic, otitis or sepsis.
It can be arrhythmia, which can be fatal if not diagnosed in time, said Dr. Mohanty.
The baby girl is now doing well and it has been planned to do electrophysiology study and if required radio frequency ablation will also be done, the treating doctor said.
