Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes

Title

Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes

Creator

Topjian AA; Berg RA; Nadkarni VM

Publisher

Pediatrics

Date

2008

Subject

Child; Humans; infant; Prognosis; Extracorporeal Membrane Oxygenation; Life Support Care; Magnetic Resonance Imaging; Animals; Blood Pressure; Regional Blood Flow; Vascular Resistance; quality of life; Newborn; Premature; cardiopulmonary resuscitation; S100 Proteins/blood; Heart Arrest/epidemiology/mortality/physiopathology/therapy; Nerve Growth Factors/blood; No-Reflow Phenomenon/physiopathology; Ventricular Fibrillation/epidemiology/physiopathology

Description

More than 25% of children survive to hospital discharge after in-hospital cardiac arrests, and 5% to 10% survive after out-of-hospital cardiac arrests. This review of pediatric cardiopulmonary resuscitation addresses the epidemiology of pediatric cardiac arrests, mechanisms of coronary blood flow during cardiopulmonary resuscitation, the 4 phases of cardiac arrest resuscitation, appropriate interventions during each phase, special resuscitation circumstances, extracorporeal membrane oxygenation cardiopulmonary resuscitation, and quality of cardiopulmonary resuscitation. The key elements of pathophysiology that impact and match the timing, intensity, duration, and variability of the hypoxic-ischemic insult to evidence-based interventions are reviewed. Exciting discoveries in basic and applied-science laboratories are now relevant for specific subpopulations of pediatric cardiac arrest victims and circumstances (eg, ventricular fibrillation, neonates, congenital heart disease, extracorporeal cardiopulmonary resuscitation). Improving the quality of interventions is increasingly recognized as a key factor for improving outcomes. Evolving training strategies include simulation training, just-in-time and just-in-place training, and crisis-team training. The difficult issue of when to discontinue resuscitative efforts is addressed. Outcomes from pediatric cardiac arrests are improving. Advances in resuscitation science and state-of-the-art implementation techniques provide the opportunity for further improvement in outcomes among children after cardiac arrest.
2008

Rights

Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).

Type

Journal Article

Citation List Month

Backlog

Citation

Topjian AA; Berg RA; Nadkarni VM, “Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes,” Pediatric Palliative Care Library, accessed February 6, 2023, https://pedpalascnetlibrary.omeka.net/items/show/13973.

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