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It is also considered a second-line therapy for bradycardia refractory to epinephrine 45 The 2010 ILCOR and AHA guidelines recommend an atropine dose of 0 02 mg/kg with a minimum dose of 0 1 mg for all pediatric patients to prevent paradoxical bradycardia

  • Does atropine increase physiologic vagotonia in children?

    The determination of the susceptibility of children of various ages of atropine fails to adduce evidence supporting the assumption of an increased resistance to atropine or of a physiologic vagotonia in infants. The relation of the MED of atropine in apparently healthy children to the doses recommended in pediatric therapy is discussed.

  • How much atropine should a child take?

    The 8 th Edition of Smith's Anesthesia for Infants and Children [ 3] states that the pediatric dose for atropine is 0.02 mg/kg, with a minimum dose of 0.15 mg and a maximal dose of 2 mg. Again, Morgan and Mikhail's Clinical Anesthesiology mentions that “atropine (0.1 mg minimum) must always be administered before succinylcholine in children.”

  • How much atropine should be given before intubation?

    While the authors did not comment on the atropine dose, based on a weight of 1.8 kg (the patient’s weight after removal of the 1.5 kg tumor) it was 0.06 mg/kg, well above the recommended weight-based dose. Vagolytics are given prior to intubation to minimize bradycardia and reduce bronchial and salivary secretions.

  • What is the role of atropine in pediatric medicine?

    The role of atropine in pediatric medicine continues to evolve over time. While no longer a primary medication for pediatric resuscitation, atropine still serves as a second-line therapy for selected arrhythmias.

Atropine

Atropine

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Atropine: Emergency Medications

Atropine: Emergency Medications

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