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September 3, 2026American Journal of Perinatology ReportsOpen Access

A Novel Rectal Propranolol Strategy in Neonatal Supraventricular Tachycardia Complicated by Surgical Necrotizing Enterocolitis

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Authors

MSM SIDDHARTHABAshishkumar BanpurkarABAbhijit Benare

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Overview

Case report demonstrates successful rectal propranolol administration in a neonate with supraventricular tachycardia and necrotizing enterocolitis, suggesting a viable alternative during gut rest.

Key Points

  • To describe a novel per-rectal propranolol delivery strategy for antiarrhythmic maintenance during mandatory nil per oral status caused by surgical necrotizing enterocolitis.
  • Evaluation of a single 35-week neonate with antenatal tachyarrhythmia and postnatal supraventricular tachycardia managed at a tertiary neonatal unit in Western India.
  • Implementation of rectal propranolol following development of Bell Stage 3A necrotizing enterocolitis and subsequent progression to surgical Bell Stage 3B disease.
  • Rectal propranolol successfully suppressed supraventricular tachycardia recurrence during mandatory nil per oral status following initial adenosine cardioversion.
  • The infant underwent emergency laparotomy with jejuno-jejunal and ileo-caecal resection for pneumoperitoneum on day of life 8 and was discharged on oral propranolol on day of life 25.

Cite This Study

SIDDHARTH et al. (2026) studied this question.

synapsesocial.com/papers/6a993592636c6408cfa7de3dhttps://doi.org/10.1055/a-2942-1294
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