scholarly journals Singapore Paediatric Resuscitation Guidelines 2021

2021 ◽  
Vol 62 (08) ◽  
pp. 372-389 ◽  
Author(s):  
GYK Ong ◽  
◽  
N Ngiam ◽  
LP Tham ◽  
YH Mok ◽  
...  

We present the 2021 Singapore Paediatric Resuscitation Guidelines. The International Liaison Committee on Resuscitation’s Pediatric Taskforce Consensus Statements on Science and Treatment Recommendations, which was published in October 2020, and the updated resuscitation guidelines from the American Heart Association and European Resuscitation Council, were reviewed and discussed by the committee. These recommendations were derived after deliberation of peer-reviewed evidence updates on paediatric resuscitation and took into consideration the local setting and clinical practice.

2021 ◽  
Vol 62 (08) ◽  
pp. 404-414 ◽  
Author(s):  
A Biswas ◽  
SKY Ho ◽  
WY Yip ◽  
KBA Kader ◽  
JY Kong ◽  
...  

Neonatal resuscitation is a coordinated, team-based series of timed sequential steps that focuses on a transitional physiology to improve perinatal and neonatal outcomes. The practice of neonatal resuscitation has evolved over time and continues to be shaped by emerging evidence as well as key opinions. We present the revised Neonatal Resuscitation Guidelines for Singapore 2021. The recommendations from the International Liaison Committee on Resuscitation Neonatal Task Force Consensus on Science and Treatment Recommendations (2020) and guidelines from the American Heart Association and European Resuscitation Council were compared with existing guidelines. The recommendations of the Neonatal Subgroup of the Singapore Resuscitation and First Aid Council were derived after the work group discussed and appraised the current available evidence and their applicability to local clinical practice.


2020 ◽  
Vol 41 (4S1) ◽  
pp. 81 ◽  
Author(s):  
Manuel Ángel Correa Flores ◽  
Juan José Menéndez Suso ◽  
José Luis Pinacho Velázquez ◽  
Eduardo Velasco Sanchez ◽  
Eduardo Rafael Garcia Gonzalez ◽  
...  

La pandemia por el virus COVID-19 (SARS-CoV2) ha impuesto un reto en los esfuerzos de resucitación que requiere modificaciones primordiales a las pautas de adiestramiento existentes. Se han creado nuevos algoritmos que permiten asegurar que los pacientes con sospecha y confirmación de COVID-19, con paro cardiorrespiratorio, tengan la mayor posibilidad de supervivencia sin poner en riesgo la seguridad de los rescatadores que deben contar con todas las medidas de seguridad y equipo de protección personal. La atención del paro cardiaco intra y extrahospitalario del paciente con COVID-19, dada su alta contagiosidad, incrementada particularmente durante las maniobras de reanimación y manipulación de la vía aérea, con repercusión en la morbilidad y mortalidad del equipo de salud.La American Heart Association (AHA), International Liaison Committee on Resuscitation (ILCOR) y la European Resuscitation Council (ERC) recomiendan priorizar el uso de la bolsa válvula mascarilla, con filtro de alta eficiencia, y asegurar la vía aérea mediante intubación endotraqueal o dispositivo supraglótico o, cricotiroidotomía durante las maniobras de reanimación cardiopulmonar avanzada.


Circulation ◽  
2019 ◽  
Vol 140 (24) ◽  
Author(s):  
Marilyn B. Escobedo ◽  
Khalid Aziz ◽  
Vishal S. Kapadia ◽  
Henry C. Lee ◽  
Susan Niermeyer ◽  
...  

This 2019 focused update to the American Heart Association neonatal resuscitation guidelines is based on 2 evidence reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support Task Force. The International Liaison Committee on Resuscitation Expert Systematic Reviewer and content experts performed comprehensive reviews of the scientific literature on the appropriate initial oxygen concentration for use during neonatal resuscitation in 2 groups: term and late-preterm newborns (≥35 weeks of gestation) and preterm newborns (<35 weeks of gestation). This article summarizes those evidence reviews and presents recommendations. The recommendations for neonatal resuscitation are as follows: In term and late-preterm newborns (≥35 weeks of gestation) receiving respiratory support at birth, the initial use of 21% oxygen is reasonable. One hundred percent oxygen should not be used to initiate resuscitation because it is associated with excess mortality. In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen and to base subsequent oxygen titration on oxygen saturation targets. These guidelines require no change in the Neonatal Resuscitation Algorithm–2015 Update.


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