diff --git a/src/node_api.cc b/src/node_api.cc
index 8dbf48d466dfe1..9f3fbdf4fbfa88 100644
--- a/src/node_api.cc
+++ b/src/node_api.cc
@@ -12,6 +12,7 @@
 #include "tracing/traced_value.h"
 #include "util-inl.h"
 
+#include <atomic>
 #include <memory>
 
 struct node_napi_env__ : public napi_env__ {
@@ -137,6 +138,7 @@ class ThreadSafeFunction : public node::AsyncResource {
                                    *v8::String::Utf8Value(env_->isolate, name)),
       thread_count(thread_count_),
       is_closing(false),
+      dispatch_state(kDispatchIdle),
       context(context_),
       max_queue_size(max_queue_size_),
       env(env_),
@@ -176,7 +178,7 @@ class ThreadSafeFunction : public node::AsyncResource {
         return napi_closing;
       }
     } else {
-      if (uv_async_send(&async) != 0) {
+      if (Send() != 0) {
         return napi_generic_failure;
       }
       queue.push(data);
@@ -211,7 +213,7 @@ class ThreadSafeFunction : public node::AsyncResource {
         if (is_closing && max_queue_size > 0) {
           cond->Signal(lock);
         }
-        if (uv_async_send(&async) != 0) {
+        if (Send() != 0) {
           return napi_generic_failure;
         }
       }
@@ -275,9 +277,32 @@ class ThreadSafeFunction : public node::AsyncResource {
     return napi_ok;
   }
 
-  void DispatchOne() {
+  inline void* Context() {
+    return context;
+  }
+
+ protected:
+  void Dispatch() {
+    bool has_more = true;
+
+    // Limit maximum synchronous iteration count to prevent event loop
+    // starvation. See `src/node_messaging.cc` for an inspiration.
+    unsigned int iterations_left = kMaxIterationCount;
+    while (has_more && --iterations_left != 0) {
+      dispatch_state = kDispatchRunning;
+      has_more = DispatchOne();
+
+      // Send() was called while we were executing the JS function
+      if (dispatch_state.exchange(kDispatchIdle) != kDispatchRunning) {
+        has_more = true;
+      }
+    }
+  }
+
+  bool DispatchOne() {
     void* data = nullptr;
     bool popped_value = false;
+    bool has_more = false;
 
     {
       node::Mutex::ScopedLock lock(this->mutex);
@@ -305,6 +330,8 @@ class ThreadSafeFunction : public node::AsyncResource {
           } else {
             CHECK_EQ(0, uv_idle_stop(&idle));
           }
+        } else {
+          has_more = true;
         }
       }
     }
@@ -322,6 +349,8 @@ class ThreadSafeFunction : public node::AsyncResource {
         call_js_cb(env, js_callback, context, data);
       });
     }
+
+    return has_more;
   }
 
   void Finalize() {
@@ -335,10 +364,6 @@ class ThreadSafeFunction : public node::AsyncResource {
     EmptyQueueAndDelete();
   }
 
-  inline void* Context() {
-    return context;
-  }
-
   void CloseHandlesAndMaybeDelete(bool set_closing = false) {
     v8::HandleScope scope(env->isolate);
     if (set_closing) {
@@ -370,6 +395,16 @@ class ThreadSafeFunction : public node::AsyncResource {
         });
   }
 
+  int Send() {
+    // Ask currently running Dispatch() to make one more iteration
+    unsigned char current_state = dispatch_state.fetch_or(kDispatchPending);
+    if ((current_state & kDispatchRunning) == kDispatchRunning) {
+      return 0;
+    }
+
+    return uv_async_send(&async);
+  }
+
   // Default way of calling into JavaScript. Used when ThreadSafeFunction is
   //  without a call_js_cb_.
   static void CallJs(napi_env env, napi_value cb, void* context, void* data) {
@@ -396,7 +431,7 @@ class ThreadSafeFunction : public node::AsyncResource {
   static void IdleCb(uv_idle_t* idle) {
     ThreadSafeFunction* ts_fn =
         node::ContainerOf(&ThreadSafeFunction::idle, idle);
-    ts_fn->DispatchOne();
+    ts_fn->Dispatch();
   }
 
   static void AsyncCb(uv_async_t* async) {
@@ -411,6 +446,12 @@ class ThreadSafeFunction : public node::AsyncResource {
   }
 
  private:
+  static const unsigned char kDispatchIdle = 0;
+  static const unsigned char kDispatchRunning = 1 << 0;
+  static const unsigned char kDispatchPending = 1 << 1;
+
+  static const unsigned int kMaxIterationCount = 1000;
+
   // These are variables protected by the mutex.
   node::Mutex mutex;
   std::unique_ptr<node::ConditionVariable> cond;
@@ -419,6 +460,7 @@ class ThreadSafeFunction : public node::AsyncResource {
   uv_idle_t idle;
   size_t thread_count;
   bool is_closing;
+  std::atomic_uchar dispatch_state;
 
   // These are variables set once, upon creation, and then never again, which
   // means we don't need the mutex to read them.
diff --git a/test/node-api/test_threadsafe_function/test.js b/test/node-api/test_threadsafe_function/test.js
index 01542e4edb97e6..6a8b5d38727a56 100644
--- a/test/node-api/test_threadsafe_function/test.js
+++ b/test/node-api/test_threadsafe_function/test.js
@@ -43,7 +43,7 @@ function testWithJSMarshaller({
     binding[threadStarter](function testCallback(value) {
       array.push(value);
       if (array.length === quitAfter) {
-        setImmediate(() => {
+        process.nextTick(() => {
           binding.StopThread(common.mustCall(() => {
             resolve(array);
           }), !!abort);
@@ -85,7 +85,7 @@ new Promise(function testWithoutJSMarshaller(resolve) {
     // The default call-into-JS implementation passes no arguments.
     assert.strictEqual(arguments.length, 0);
     if (callCount === binding.ARRAY_LENGTH) {
-      setImmediate(() => {
+      process.nextTick(() => {
         binding.StopThread(common.mustCall(() => {
           resolve();
         }), false);