scholarly journals New guidelines for cardiopulmonary resuscitation

2008 ◽  
Vol 16 (6) ◽  
pp. 1060-1062 ◽  
Author(s):  
Maria Celia Barcellos Dalri ◽  
Izilda Esmenia Muglia Araújo ◽  
Renata Cristina de Campos Pereira Silveira ◽  
Silvia Rita Marin da Silva Canini ◽  
Regilene Molina Zacareli Cyrillo
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Large Scale ◽  
Review Process ◽  
Heart Arrest ◽  
American Heart ◽  
Cardiopulmonary Arrest ◽  
Heart Association ◽  
Liaison Committee ◽  
New Guidelines ◽  
Threat To Life

Cardiopulmonary arrest (CPA) poses a severe threat to life; cardiopulmonary resuscitation (CPR) represents a challenge for research and assessment by nurses and their team. This study presents the most recent international recommendations for care in case of cardiopulmonary heart arrest, based on the 2005 Guidelines by the American Heart Association (AHA). These CPR guidelines are based on a large-scale review process, organized by the International Liaison Committee on Resuscitation (ILCOR). High-quality basic and advanced CPR maneuvers can save lives.

scholarly journals 2019 American Heart Association Focused Update on Pediatric Advanced Life Support: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Circulation ◽  
2019 ◽  
Vol 140 (24) ◽  
Author(s):  
Jonathan P. Duff ◽  
Alexis A. Topjian ◽  
Marc D. Berg ◽  
Melissa Chan ◽  
Sarah E. Haskell ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
Life Support ◽  
American Heart ◽  
Heart Association ◽  
Targeted Temperature Management ◽  
Temperature Management ◽  
Liaison Committee ◽  
Hospital Cardiac Arrest

This 2019 focused update to the American Heart Association pediatric advanced life support guidelines follows the 2018 and 2019 systematic reviews performed by the Pediatric Life Support Task Force of the International Liaison Committee on Resuscitation. It aligns with the continuous evidence review process of the International Liaison Committee on Resuscitation, with updates published when the International Liaison Committee on Resuscitation completes a literature review based on new published evidence. This update provides the evidence review and treatment recommendations for advanced airway management in pediatric cardiac arrest, extracorporeal cardiopulmonary resuscitation in pediatric cardiac arrest, and pediatric targeted temperature management during post–cardiac arrest care. The writing group analyzed the systematic reviews and the original research published for each of these topics. For airway management, the writing group concluded that it is reasonable to continue bag-mask ventilation (versus attempting an advanced airway such as endotracheal intubation) in patients with out-of-hospital cardiac arrest. When extracorporeal membrane oxygenation protocols and teams are readily available, extracorporeal cardiopulmonary resuscitation should be considered for patients with cardiac diagnoses and in-hospital cardiac arrest. Finally, it is reasonable to use targeted temperature management of 32°C to 34°C followed by 36°C to 37.5°C, or to use targeted temperature management of 36°C to 37.5°C, for pediatric patients who remain comatose after resuscitation from out-of-hospital cardiac arrest or in-hospital cardiac arrest.

Keeping Cool: A Case for Hypothermia After Cardiopulmonary Resuscitation

2007 ◽  
Vol 16 (6) ◽  
pp. 636-640 ◽  
Author(s):  
Mary Kay Bader ◽  
Michael Rovzar ◽  
Laurie Baumgartner ◽  
Robert Winokur ◽  
Jon Cline ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Cardiopulmonary Resuscitation ◽  
American Heart ◽  
Cardiopulmonary Arrest ◽  
Heart Association ◽  
Spontaneous Circulation ◽  
Neurological Injury ◽  
Moderate Hypothermia ◽  
Patient’S Outcome ◽  
The Impact

Cessation of circulation during cardiac arrest causes critical end-organ ischemia. Although the neurological consequences of cardiopulmonary arrest can be catastrophic, an aggressive “push fast and push hard” resuscitation technique maintains blood flow until the return of spontaneous circulation. However, reperfusion to the cerebrum leads to cellular chaos and further neurological injury. Use of moderate hypothermia after cardiac arrest mediates these cellular and chemical processes, reducing the impact of the arrest and reperfusion phenomena. A 43-year-old man had 2 asystolic arrests with 20 minutes of cardiopulmonary resuscitation as a result of massive, multiple pulmonary emboli. After the cardiac arrest, the patient was comatose and posturing. The 2005 American Heart Association guidelines for cardiopulmonary resuscitation were used along with moderate hypothermia in an attempt to minimize the neurological consequences of the cardiopulmonary arrest and to optimize the patient’s outcome.

scholarly journals Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. International Consensus on Science.” The American Heart Association in Collaboration with the International Liaison Committee on Resuscitation (ILCOR) Supplement to Circulation. Volume 102, Number 8. August 22, 2000

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Tony Hucker
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
International Consensus ◽  
Liaison Committee ◽  
Circulation Volume ◽  
Cardiovascular Care ◽  
Page Book

This book, by its title, ”International Consensus on Science” may well be what we have been waiting for. The American Heart Association, in collaboration with the International Liaison Committee on Resuscitation (ILCOR), has produced this superb 380-page book which should be used as a reference by all who are interested in resuscitation.

scholarly journals Reanimación cardiopulmonar en el paciente pediátrico con sospecha o portador de COVID19

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 ◽  
...  
Keyword(s):  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
European Resuscitation Council ◽  
Liaison Committee

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.

scholarly journals Influence of Rescuers’ Gender and Body Mass Index on Cardiopulmonary Resuscitation according to the American Heart Association 2010 Resuscitation Guidelines

2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Ahmad Jaafar ◽  
Mohammad Abdulwahab ◽  
Eman Al-Hashemi
Keyword(s):  
Body Mass Index ◽  
Cardiopulmonary Resuscitation ◽  
Body Mass ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Resuscitation Guidelines ◽  
The Mean ◽  
The Individual ◽  
Cpr Training

Background and Objectives. The quality of cardiopulmonary resuscitation (CPR) is an important factor in determining its overall outcome. This study aims to test the association between rescuers’ gender, Body Mass Index (BMI), and the accuracy of chest compressions (CC) as well as ventilation, according to American Heart Association (AHA) 2010 resuscitation guidelines. Methods. The study included 72 participants of both genders. All the participants received CPR training according to AHA 2010 resuscitation guidelines. One week later, an assessment of their CPR was carried out. Moreover, the weight and height of the participants were measured in order to calculate their BMI. Results. Our analysis showed no significant association between gender and the CC depth (P=0.53) as well as between gender and ventilation (P=0.42). Females were significantly faster than males in CC (P=0.000). Regarding BMI, participants with a BMI less than the mean BMI of the study sample tended to perform CC with the correct depth (P=0.045) and to finish CC faster than those with a BMI more than the mean (P=0.000). On the other hand, no significant association was found between BMI and ventilation (P=0.187). Conclusion. CPR can be influenced by factors such as gender and BMI, as such the individual rescuer and CPR training programs should take these into account in order to maximize victims’ outcome.

Abstract 2688: Automated Rhythm Analysis To Reduce Pauses During Cardiopulmonary Resuscitation

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Joseph L Sullivan ◽  
Robert G Walker ◽  
Isabelle L Banville ◽  
Thomas D Rea ◽  
Fred W Chapman
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Current Approach ◽  
Adjacent Segment ◽  
Automatic External Defibrillator ◽  
Predictive Values ◽  
Rhythm Analysis ◽  
External Defibrillator

Background : Pauses in cardiopulmonary resuscitation (CPR) for Automatic External Defibrillator (AED) ECG analysis may adversely affect cardiac arrest resuscitation. Thus, approaches that analyze the ECG rhythm during CPR may improve outcomes. We developed and tested an Analysis During CPR (ADC) algorithm to determine if it would meet the American Heart Association recommended 90% sensitivity for coarse (>0.2 mV peak-peak) ventricular fibrillation (VF) and 95% specificity for non-shockable rhythms. Methods : Defibrillator ECG and impedance recordings from 162 patients were retrospectively gathered from 3 EMS systems. 1047 15-second CPR-artifacted segments (274 coarse VF + 773 non-shockable) were identified for analysis; their artifact and rhythm distributions reflect those found in the 162 patients. Each CPR artifacted segment was paired with an adjacent segment free of CPR artifact for reference. Independent reviewers manually annotated and verified Shock/No-Shock rhythm designations blinded to the ADC determination. The ADC algorithm automatically classified each segment into categories of Shock/No Shock/Pause CPR For Clean Analysis, where the last category is segments recognized by the ADC as too noisy for accurate Shock/No Shock determination. In those situations the device would revert to the current approach of a CPR pause for AED rhythm analysis. Results : Of the 1047 CPR-artifacted segments, the ADC recommended to “Pause CPR For Clean Analysis” in 10% (n=109), including 4.4% of VF segments (12/274) and 12% (97/773) of non-shockable segments. Of the 938 remaining segments, the ADC correctly identified VF in 97% (sensitivity: 255/262) and correctly identified nonshockable rhythms in 96% (specificity: 650/676). Corresponding positive and negative predictive values were 91% and 99% respectively. Conclusions : The ADC is the first algorithm for automated ECG rhythm analysis during ongoing CPR that has been demonstrated to meet the existing AHA sensitivity and specificity recommendations designed for traditional rhythm analysis during hands-off pauses. Incorporation of this algorithm into an AED may eliminate about 90% of analysis pauses without compromising analysis accuracy and in turn may improve the likelihood of resuscitation.

Part 5: Neonatal Resuscitation 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

PEDIATRICS ◽  
2020 ◽  
Vol 147 (Supplement 1) ◽  
pp. e2020038505E ◽  
Author(s):  
Khalid Aziz ◽  
Chair; Henry C. Lee ◽  
Marilyn B. Escobedo ◽  
Amber V. Hoover ◽  
Beena D. Kamath-Rayne ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Neonatal Resuscitation ◽  
Heart Association ◽  
Cardiovascular Care
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