Modern principles of cardiopulmonary resuscitation in pediatric practice

2016 ◽  
Vol 7 (1) ◽  
pp. 5-15
Author(s):  
Yuriy S Alexandrovich ◽  
Konstantin V Pshenisnov
Keyword(s):  
Intensive Care ◽  
Cardiopulmonary Resuscitation ◽  
American Heart ◽  
Circulatory Arrest ◽  
Heart Association ◽  
European Resuscitation Council ◽  
Epidemiological Evidence ◽  
Pediatric Practice ◽  
Favorable Neurological Outcome

Quality improvement of cardiopulmonary resuscitation (CPR) is one of the most urgent problems in pediatric anesthesiology, resuscitation and intensive care. Despite the fact that in recent years the number of surviving children after cardiopulmonary resuscitation is constantly increasing, the number of young children among them, still small, which requires further improvement of provision of intensive care, especially in the pre-hospital stage. In the last two decades the protocols of cardiopulmonary resuscitation are regularly changed and supplemented every five years, which helps to improve outcomes of resuscitative measures. In October/November 2015 came the next recommendations of American Heart Association and European Resuscitation Council for basic and advanced cardiopulmonary resuscitation in children, which is reflected in this article. Using these recommendations will significantly improve the quality of the provision of intensive care to children and contribute to a more favorable neurological outcome even after a sudden circulatory arrest. This publication reflects the epidemiological evidence on the effectiveness and outcomes of cardiopulmonary resuscitation in pediatric practice, the modern principles of basic and advanced cardiopulmonary resuscitation in children are considered in detail, special attention is given to the use of drugs and defibrillation during resuscitation. Excerpts from the regulating documents governing the termination of resuscitation and ascertaining biological death are presented in this article.

scholarly journals Cardiopulmonary resuscitation of neonate at delivery room

2019 ◽  
Vol 10 (4) ◽  
pp. 5-16 ◽  
Author(s):  
Yuri S. Aleksandrovich ◽  
Dmitry O. Ivanov ◽  
Konstantin V. Pshenisnov
Keyword(s):  
Quality Of Life ◽  
Birth Weight ◽  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Delivery Room ◽  
Extremely Low Birth Weight ◽  
European Resuscitation Council

Improving the cardiopulmonary resuscitation quality in the delivery room is one of the most pressing issues in modern neonatology. Despite the fact that in recent years the number of surviving infants with low and extremely low birth weight has been steadily increasing, the nursing outcome is not enough favourable with unsatisfying quality of life. The cardiopulmonary resuscitation protocols have been regularly updated and upgraded (every five years in the last twenty years). This helps to improve resuscitation outcome. In 2015 the American Heart Association and the European Resuscitation Council issued the new edition of the guidelines on basic and advanced cardiopulmonary resuscitation in children, including infants. The guidelines are believed to improve the quality of resuscitation care in the delivery room and to contribute to a better neurological outcome.

scholarly journals Az ultrahang használata az újraélesztésben

2019 ◽  
Vol 160 (46) ◽  
pp. 1821-1825
Author(s):  
Domonkos Kiss
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
American Heart Association ◽  
American Heart ◽  
Scientific Evidence ◽  
Heart Association ◽  
Clinical Judgement ◽  
Medical Procedures ◽  
European Resuscitation Council ◽  
Scientific Societies ◽  
Ethical Duty

Abstract: Cardiopulmonary resuscitation is one of the most emergent medical procedures. Maintaining our resuscitative efforts at the highest level possible is not only our professional, but also ethical duty. International scientific societies, like the European Resuscitation Council (ERC) and the American Heart Association (AHA) publish regularly their guidelines, based on robust scientific evidence, or (where it is not available) widely accepted expert panels’ opinion. Current clinical experience shows that a growing proportion of cardiac arrests is non-arrhytmogenic in origin. In these cases scientific guidelines, but also bare clinical judgement suggests searching for reversible causes and correcting them parallel with standard resuscitation efforts. Without this, a good outcome is rarely achievable. Intra-arrest protocolised ultrasound exam can be a powerful tool in detecting reversible causes, and also an aid in the correction of some. By reviewing the current literature and scientific guidelines, I aim to tailor the role and usefulness of intra-arrest ultrasound exam as an integrated part of the resuscitation efforts. Orv Hetil. 2019; 160(46): 1821–1825.

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 Metronome Use Positively Affect Cardiopulmonary Resuscitation Parameters: Prospective Observational Multicenter Manikin Study

2020 ◽  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Minute Ventilation ◽  
Heart Association ◽  
High Volume ◽  
Compression Rate ◽  
Compression Depth ◽  
Manikin Study ◽  
Volume Ventilation ◽  
Cpr Quality

Objective: Clinical studies have shown that eliminating performer errors is important to ensure high quality cardiopulmonary resuscitation (CPR). Literature on the effects of metronome use on the quality of CPR is scarce. This study aimed to investigate the effect of metronome use on the quality of cardiopulmonary resuscitation. Methods: Thirty volunteer emergency physicians who were divided into 15 groups participated in this prospective, observational, multi-center, manikin study. Firstly, each participant performed conventional CPR on a manikin, and then performed metronome-guided CPR after a short break. Parameters affecting CPR quality were evaluated based on the recommendations of the 2015 American Heart Association CPR and Emergency Cardiovascular Care Guideline. In addition, the fatigue levels of participants were evaluated using the Borg Fatigue Index. Results: Metronome-guided CPR significantly improved the chest compression rate (median (Interquartile Range-IQR); 128 (22) compressions/min vs. 110 (2) compressions/min; 95%CI, p < 0.001), deep compression rate (median (IQR); 95.25 (80) compressions/min vs. 72.63 (105) compressions/min; 95%CI, p < 0.001), compression depth (median (IQR); 62.50 (11) mm vs. 60.25 (14) mm; 95%CI, p = 0.016), ventilation number (median (IQR); 11.25 (6) ventilations/min vs. 9.50 (1) ventilations/min; 95%CI, p = 0.001), high-volume ventilation count (median (IQR); 10.13 (6) ventilations/min vs. 9.50 (1) ventilations/min; 95%CI, p = 0.026), minute ventilation volume (median (IQR); 11.75 (10) L/min vs. 8.03 (3) L/min; 95%CI, p < 0.05), and fatigue levels (median (IQR); 3 (2) vs. 2 (2); in 95%CI, p < 0.05). Conclusions: Our study showed that metronome is a useful device for reaching effective CPR. Metronome guidance may change the CPR parameters positively. This study is in accordance with previous studies which have investigated the effect of metronome-guided CPR on survival.

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.

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