Prioritize interventions to prevent progression to cardiac arrestĮarly recognition and activation of medical emergency response teams Optimize community education regarding child safety Interventions to improve the outcome of pediatric cardiac arrest should optimize therapies targeted to the time and phase of CPR, as suggested in Box 39.1 and Table 39.1. The four distinct phases of cardiac arrest and CPR interventions are (1) prearrest, (2) “no-flow” (untreated cardiac arrest), (3) “low-flow” (CPR), and (4) postarrest. Controversies related to pediatric cardiac arrest management are also discussed. This chapter focuses on pediatric cardiac arrest, CPR, and therapeutic interventions that impact clinical outcomes. With advances in resuscitation science, survival from pediatric cardiac arrest has improved substantially since the 1990s. In the past, survival outcomes were dismal, and many surviving children had severe neurologic sequelae. More than 20,000 children are treated with cardiopulmonary resuscitation (CPR) for a cardiac arrest in the United States annually. Pediatric cardiac arrest is not a rare event. Physiology-directed CPR, in which CPR is titrated to a patient’s physiologic response, is a promising technique to save more children’s lives from cardiac arrest. Real-time monitoring and feedback combined with reflective debriefings of team performance improves CPR quality and survival outcomes.Īttention to meticulous postresuscitation care-specifically, avoidance of hypotension and fever-improves survival outcomes.
#Chest compression fraction ideally greater than full#
High-quality CPR (i.e., push hard, push fast, allow full chest recoil, minimize interruptions in chest compressions) improves cardiac arrest outcomes. The most common precipitating event for cardiac arrests in children is respiratory insufficiency restoration of adequate ventilation and oxygenation remain a high priority. There are four distinct phases of cardiac arrest and cardiopulmonary resuscitation (CPR): prearrest, no-flow (untreated cardiac arrest), low-flow (CPR), and postarrest.
0 kommentar(er)
