Journal article
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
Pediatrics (Evanston), Vol.145(1), e20191361
01/01/2020
DOI: 10.1542/peds.2019-1361
PMID: 31727859
Abstract
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 degrees C to 34 degrees C followed by 36 degrees C to 37.5 degrees C, or to use targeted temperature management of 36 degrees C to 37.5 degrees C, for pediatric patients who remain comatose after resuscitation from out-of-hospital cardiac arrest or in-hospital cardiac arrest.
Details
- Title: Subtitle
- 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
- Creators
- Jonathan P. DuffAlexis A. TopjianMarc D. BergMelissa ChanSarah E. HaskellBenny L. JoynerJavier J. LasaS. Jill LeyTia T. RaymondRobert Michael SuttonMary Fran HazinskiDianne L. Atkins
- Resource Type
- Journal article
- Publication Details
- Pediatrics (Evanston), Vol.145(1), e20191361
- Publisher
- Amer Acad Pediatrics
- DOI
- 10.1542/peds.2019-1361
- PMID
- 31727859
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- Number of pages
- 13
- Language
- English
- Date published
- 01/01/2020
- Academic Unit
- Critical Care; Stead Family Department of Pediatrics
- Record Identifier
- 9984354047102771
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