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My introduction to the diving reflex was pretty stressful. Our daughter was born a few weeks early. Her lungs weren't mature enough yet, so she was in the NICU
by bruckie 11y ago
My introduction to the diving reflex was pretty stressful.
Our daughter was born a few weeks early. Her lungs weren't mature enough yet, so she was in the NICU for a while. One day we were changing her diaper right before her evening feed, around 8 p.m. She was already fussy because she was hungry, and then she got really upset because she pooped halfway through the diaper change, so we had to start over. She was really mad, screaming at the top of her little lungs.
In the middle of all of this, I looked over at the monitor (babies are always on monitors at the NICU) and noticed that her heart rate had jumped from ~160 bpm (typical for a newborn) to ~320 bpm. I asked the nurse about it and she said it was a little high, but that it was probably just because she was upset. After we wrapped things up, our daughter started eating and quickly calmed down. Strangely, though, the monitor hadn't budged: still ~320 bpm.
I asked the nurse if the monitor was correct, and apparently it was, because things quickly turned serious. Double-check with a stethoscope. EKG ordered. Doctors we'd never met appeared out of nowhere. Pediatric cardiologist called. Another IV started. 10 people crowded around our tiny daughter.
The neonatologist texted the EKG printout to the cardiologist (at a hockey game with her daughter, we later learned), and she and diagnosed a supraventricular tachycardia. Untreated, it would result in organ failure within hours.
The top priority became getting the heart rate back to normal. I assumed they would use drugs or some kind of electrical stimulation, but they told me about their preferred treatment, and it seemed almost like quackery: sticking ice packs on our daughter's face and forehead.
They got their bags of ice water ready, applied them simultaneously, waited precisely 6 seconds, and removed them. A few seconds later, still ~320 bpm. It hadn't worked.
They planned to try once more, and then try with drugs through the IV. Ice packs ready. Applied. 6 seconds. Again, nothing. Disappointment, anxiety, fear, worry.
And then it happened: five or six seconds after they removed the ice packs, our daughter's heart rate instantly dropped back to ~160 bpm. There was no gradual decline: it was a step function. It almost seemed like magic. The quackery wasn't so quackish after all.
That was my introduction to the diving reflex.
(Postscript: our daughter has been on medication since that day, but she's getting old enough that they're starting to taper it off, and soon she'll be medication-free. The idea is that if she has a reoccurrence, she'll notice and tell us. Then, guess what the prescribed treatment is? Yep: stick her face in a bowl of ice water.)
Further reading:
http://www.ncbi.nlm.nih.gov/pubmed/22389355 http://www.ncbi.nlm.nih.gov/pubmed/22389355
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1544966/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1544966/
http://www.webmd.com/heart-disease/tc/supraventricular-tachycardia-treatment-overview http://www.webmd.com/heart-disease/tc/supraventricular-tachy...
- jacquesm 11y agoReading this brought back a whole pile of not-so-happy memories. Great to hear she's doing ok and I'm super happy that you asked the follow up question about monitor being correct. If I interpret your recollection correctly that was one very important thing you did there. Very scary that it should hinge on that.
- bruckie 11y agoI think things would have turned it fine even if I hadn't been there. Monitors beep if things go out of acceptable range, but nurses (and NICU parents, eventually) learn to not be alarmed by it. Some of the sensors are noisy, and all of the bodies they're connected to are. Usually the beeping resolves itself after a few seconds. In this particular case, the sensor had been temporarily silenced because of the diaper change excitement, but the override would have expired and been noticed by a nurse within a minute or two.